Carson, Sandra

Carson, Sandra is an individual health care provider with primary practice located at 150 Sargent Dr , New Haven CT 06511-6100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as her primary health care specialty. Carson, Sandra can be contacted via phone (203) 785-4708.

Contact Information

Primary practice address
150 Sargent Dr New Haven CT 06511-6100
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X MD12285 Rhode Island
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 45526 Connecticut

Profile Details

NPI number 1760562193
LBN Legal business name Carson, Sandra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 31st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760562193 NPPES
Rhode Island MEDICAID 1760562

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