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:
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Health care specialties

SpecialtyCodeLicense #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 9 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 1528224714 NPPES
Connecticut MEDICAID 1528224714

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