Annibalini, Diane Packard
Annibalini, Diane Packard is an sole proprietor health care provider with primary practice located at 384 Merrow Rd Ste K , Tolland CT 06084-3970. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Annibalini, Diane Packard can be contacted via phone (860) 871-8851.Contact Information
Primary practice address
384 Merrow Rd Ste K
Tolland CT 06084-3970
Phone: (860) 871-8851
Fax: (860) 871-8852
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 002348 | Connecticut |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2348 | Connecticut |
Profile Details
NPI number | 1184956690 |
---|---|
LBN Legal business name | Annibalini, Diane Packard |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 8th, 2010 |
Last updated | Mar 17th, 2018 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1184956690 | NPPES |
Connecticut | Other | 002348 | CT LICENSE NUMBER |
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