Burchell, Judith
Burchell, Judith is an individual health care provider with primary practice located at 478 Burnside Ave , East Hartford CT 06108-2425. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Burchell, Judith can be contacted via phone (860) 528-1359.Contact Information
Primary practice address
478 Burnside Ave
East Hartford CT 06108-2425
Phone: (860) 528-1359
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 10617 | Connecticut |
Profile Details
NPI number | 1881321156 |
---|---|
LBN Legal business name | Burchell, Judith |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 5th, 2022 |
Last updated | Aug 5th, 2022 - about 2 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 | 1881321156 | NPPES |
Connecticut | MEDICAID | 004236164 |
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