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Contact Information

SETH BANEVER
270 FARMINGTON AVE STE 309
FARMINGTON, CT06032-1953
 Phone: 860-677-5570
 Fax: 860-677-9570
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for SETH BANEVER · (Male)

NPI # 1013302264
Status Active
Credentials
Entity Individual
Enumeration date 04/04/2015
Last updated 05/31/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 629921
  • CT Medicaid 1013302264
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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