Boateng, Theresa
Boateng, Theresa is an sole proprietor health care provider with primary practice located at 150 Shingle Hill Rd , West Haven CT 06516. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Boateng, Theresa can be contacted via phone (203) 843-8182.Contact Information
Primary practice address
150 Shingle Hill Rd
West Haven CT 06516
Phone: (203) 843-8182
Fax: (203) 690-5100
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Related Providers / Homemaker | 376J00000X | Connecticut | |
Nursing Service Related Providers / Homemaker | 376J00000X | HCA.0001442 | Connecticut |
Profile Details
NPI number | 1386121895 |
---|---|
LBN Legal business name | Boateng, Theresa |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 26th, 2018 |
Last updated | Sep 25th, 2018 - about 6 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 | 1386121895 | NPPES |
Connecticut | MEDICAID | 82-46333610 | |
Connecticut | Other | 82-4633610 |
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