Carlson, Angelique

Carlson, Angelique is an individual health care provider with primary practice located at 495 Congress Ave , New Haven CT 06519-1312. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Carlson, Angelique can be contacted via phone (203) 781-4600.

Contact Information

Primary practice address
495 Congress Ave New Haven CT 06519-1312
Phone: (203) 781-4600
Fax: (203) 781-4624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 030856 Connecticut

Profile Details

NPI number 1376965327
LBN Legal business name Carlson, Angelique
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2014
Last updated Jan 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376965327 NPPES
Connecticut MEDICAID 004082260
Connecticut MEDICAID 008001325
Connecticut MEDICAID 008022626
Connecticut MEDICAID 004082286
Connecticut MEDICAID 500000315
Connecticut MEDICAID 008022622

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