Sharon, Michael R

Sharon, Michael R is an sole proprietor health care provider with primary practice located at 520 Hartford Tpke , Vernon CT 06066-5042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Sharon, Michael R can be contacted via phone (860) 872-0888.

Contact Information

Primary practice address
520 Hartford Tpke Vernon CT 06066-5042
Fax: (860) 872-8940
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 012493 Connecticut

Profile Details

NPI number 1396745816
LBN Legal business name Sharon, Michael R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2005
Last updated Dec 29th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396745816 NPPES
Connecticut Other 710250 CONNECITCARE
Connecticut Other 010012493CT01 CONNECITCARE
Connecticut Other 007879 CONNECITCARE
Connecticut Other 012493 CONNECITCARE
Connecticut Other P707361 CONNECITCARE
Connecticut Other PR01728790001 CONNECITCARE
Connecticut MEDICAID 1124932 CONNECITCARE

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