Breslin, Tara
Breslin, Tara is an individual health care provider with primary practice located at 490 Blue Hills Avenue Mt.Sinai Rehabilitation Hospital/ Physician Suite, Hartford CT 06112-3088. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Breslin, Tara can be contacted via phone (860) 714-2647.Contact Information
Primary practice address
490 Blue Hills Avenue Mt.Sinai Rehabilitation Hospital/ Physician Suite
Hartford CT 06112-3088
Phone: (860) 714-2647
Fax: (860) 714-8519
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 000593 | Connecticut |
Profile Details
| NPI number | 1710093869 |
|---|---|
| LBN Legal business name | Breslin, Tara |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Sep 17th, 2019 - about 5 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 | 1710093869 | NPPES |
| Connecticut | Other | 0005930121 | CONNECTICARE |
| Connecticut | Other | 290000593CT03 | CONNECTICARE |
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