Ave'Lallemant, Tanya Chiarelli
Ave'Lallemant, Tanya Chiarelli is an sole proprietor health care provider with primary practice located at 72 Pine St Unit 3, Bristol CT 06010-6960. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Ave'Lallemant, Tanya Chiarelli can be contacted via phone (860) 585-1729.Contact Information
Primary practice address
72 Pine St Unit 3
Bristol CT 06010-6960
Phone: (860) 585-1729
Fax: (860) 589-9030
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 040734 | Connecticut |
Profile Details
NPI number | 1861497620 |
---|---|
LBN Legal business name | Ave'Lallemant, Tanya Chiarelli |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 17th, 2005 |
Last updated | Jun 19th, 2010 - about 14 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 | 1861497620 | NPPES |
Connecticut | MEDICAID | 1407346 |
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