Bishop, Dana J
Bishop, Dana J is an individual health care provider with primary practice located at 22 Masonic Avenue , Wallingford CT 06492. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Bishop, Dana J can be contacted via phone (203) 679-6585.Contact Information
Primary practice address
22 Masonic Avenue
Wallingford CT 06492
Phone: (203) 679-6585
Fax: (203) 679-6873
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 001801 | Connecticut |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 001801 | Connecticut |
Profile Details
NPI number | 1528224714 |
---|---|
LBN Legal business name | Bishop, Dana J |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 6th, 2008 |
Last updated | Aug 7th, 2017 - 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 | 1528224714 | NPPES |
Connecticut | MEDICAID | 1528224714 |
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