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
Fax: (203) 690-5100
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386121895 NPPES
Connecticut MEDICAID 82-46333610
Connecticut Other 82-4633610

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