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:
Health care specialties
| Specialty | Code | License # | 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 2 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 | 1487088241 | NPPES |
| Massachusetts | MEDICAID | 110110336A |
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