Keith J Pelletier, MBA, MHS, CCP, LP
Perfusionist in New Haven, Connecticut
1366952863- Practice location
- 20 York St, New Haven, CT 06510-3220
- Phone
- 203-982-7226
- Fax
- —
- Last updated
- October 10, 2017
Keith Joseph Pelletier is a Perfusionist based in New Haven, CT. Keith Joseph Pelletier practices in New Haven, CT and has the professional credentials of MBA, MHS, CCP, LP. The NPI Number for Keith Joseph Pelletier is 1366952863 and holds a License No. 83.000085 (CT). The current practice location address for Keith Joseph Pelletier is 20 York St, New Haven, CT 06510-3220 and can be reached out via phone at 203-982-7226.
Provider Profile Details
- NPI Number
- 1366952863
- Provider Name
- Keith Joseph Pelletier
- Credential
- MBA, MHS, CCP, LP
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 20 York St, New Haven, CT 06510-3220
- Phone Number
- 203-982-7226
- Primary Taxonomy
- Perfusionist · 242T00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 10, 2017
- Last Update Date
- October 10, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 York St
New Haven, CT 06510-3220 - City
- New Haven
- State
- Connecticut
- Zip
- 06510-3220
- Phone Number
- 203-982-7226
Provider Business Mailing Address Details
- Address
- 63 Alisha Ln
Waterbury, CT 06705-5730 - City
- Waterbury
- State
- CT
- Zip
- 06705-5730
License Information
- License Number
- 83.000085
- License State
- CT
- Taxonomy
- Perfusionist · 242T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Keith J Pelletier, MBA, MHS, CCP, LP?
The NPI number of Keith J Pelletier, MBA, MHS, CCP, LP is 1366952863. It was assigned on October 10, 2017 and is currently active in the NPPES registry.
What is the specialty of Keith J Pelletier, MBA, MHS, CCP, LP?
Keith J Pelletier, MBA, MHS, CCP, LP is registered under the primary taxonomy Perfusionist (code 242T00000X), licensed in CT under license number 83.000085.
Where does Keith J Pelletier, MBA, MHS, CCP, LP practice?
The practice location is 20 York St, New Haven, CT 06510-3220. The office can be reached at 203-982-7226 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366952863 directly on the NPPES registry website.