Aviles, Stephanie Saal

Aviles, Stephanie Saal is an individual health care provider with primary practice located at Enfield Medical Associates 701 Enfield Street, Enfield CT 06082. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Aviles, Stephanie Saal can be contacted via phone (860) 741-6058.

Contact Information

Primary practice address
Enfield Medical Associates 701 Enfield Street Enfield CT 06082
Phone: (860) 741-6058
Fax: (413) 733-5860
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-4817 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA4817 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5910 Massachusetts

Profile Details

NPI number 1487088241
LBN Legal business name Aviles, Stephanie Saal
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2013
Last updated Dec 7th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487088241 NPPES
Massachusetts MEDICAID 110110336A

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