Clay, Adele I
Clay, Adele I is an individual health care provider with primary practice located at 375 Willard Ave Starling Physicians, Newington CT 06111-2300. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Clay, Adele I can be contacted via phone (860) 666-5111.Contact Information
Primary practice address
375 Willard Ave Starling Physicians
Newington CT 06111-2300
Phone: (860) 666-5111
Fax: (860) 826-4957
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 003229 | Connecticut |
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | 003229 | Connecticut |
Profile Details
NPI number | 1881670933 |
---|---|
LBN Legal business name | Clay, Adele I |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 21st, 2005 |
Last updated | Jan 25th, 2016 - about 8 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 | 1881670933 | NPPES |
Connecticut | MEDICAID | 004221959 | |
Connecticut | Other | 370018 | |
Connecticut | Other | 2V7383 | |
Connecticut | Other | 322900 | |
Connecticut | Other | 400003229CT02 | |
Connecticut | Other | 1255448155 | |
Connecticut | Other | 004224846 | |
Connecticut | Other | 400003229CT01 | |
Connecticut | Other | P3654104 |
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