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Contact Information

PERSONAL CARE PEDS LLC
340 N MAIN ST
SOUTHINGTON, CT06489
 Phone: 860-628-5767
 Fax: 860-628-0218
 Website: https://www.personalcarepeds.com/
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PERSONAL CARE PEDS LLC · (Female)

NPI # 1336362755
Status Active
Credentials
Entity Individual
Enumeration date 04/11/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 15074
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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