Bieluczyk, Mary

Bieluczyk, Mary is an individual health care provider with primary practice located at 352 State St , North Haven CT 06473-3108. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Bieluczyk, Mary can be contacted via phone (203) 781-4600.

Contact Information

Primary practice address
352 State St North Haven CT 06473-3108
Phone: (203) 781-4600
Fax: (203) 781-4624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 14665 Connecticut

Profile Details

NPI number 1174947444
LBN Legal business name Bieluczyk, Mary
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2014
Last updated Feb 7th, 2014 - about 10 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 1174947444 NPPES
Connecticut MEDICAID 008022626
Connecticut MEDICAID 500000315
Connecticut MEDICAID 004082286

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