Conderino, Michele Lee
Conderino, Michele Lee is an sole proprietor health care provider with primary practice located at 120 East Ave 2Nd Floor, Norwalk CT 06851-5703. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Conderino, Michele Lee can be contacted via phone (203) 750-9711.Contact Information
Primary practice address
120 East Ave 2Nd Floor
Norwalk CT 06851-5703
Phone: (203) 750-9711
Fax: (203) 750-9651
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1043593924 |
|---|---|
| LBN Legal business name | Conderino, Michele Lee |
| Credentials | Bachelor of Arts (BA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2011 |
| Last updated | Sep 27th, 2011 - about 14 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 | 1043593924 | NPPES |
| Connecticut | MEDICAID | 008003511 |
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