Provider Demographics
NPI:1922407725
Name:PROPICIUS BIOSOLUTIONS LLC
Entity Type:Organization
Organization Name:PROPICIUS BIOSOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:B
Authorized Official - Last Name:SENATUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD PHD
Authorized Official - Phone:860-559-7714
Mailing Address - Street 1:P.O. BOX 99
Mailing Address - Street 2:
Mailing Address - City:UNIONVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06085
Mailing Address - Country:US
Mailing Address - Phone:646-588-1506
Mailing Address - Fax:860-512-0451
Practice Address - Street 1:10 JORDAN LN
Practice Address - Street 2:
Practice Address - City:UNIONVILLE
Practice Address - State:CT
Practice Address - Zip Code:06085-1166
Practice Address - Country:US
Practice Address - Phone:646-588-1506
Practice Address - Fax:860-512-0451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-18
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY222582174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty