Canavan, Sarah
Canavan, Sarah is an individual health care provider with primary practice located at 196 Waterford Pkwy S Ste 306 , Waterford CT 06385-1234. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Canavan, Sarah can be contacted via phone (604) 472-4898.Contact Information
Primary practice address
196 Waterford Pkwy S Ste 306
Waterford CT 06385-1234
Phone: (604) 472-4898
Fax: (860) 737-1231
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 042602 | Connecticut |
Profile Details
| NPI number | 1851488621 |
|---|---|
| LBN Legal business name | Canavan, Sarah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Jun 3rd, 2019 - 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 | 1851488621 | NPPES |
| Connecticut | MEDICAID | 1851488621 |
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