Connell, Cristina
Connell, Cristina is an sole proprietor health care provider with primary practice located at 124 Fort Hill Rd , Groton CT 06340-4335. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Connell, Cristina can be contacted via phone (860) 333-7502.Contact Information
Primary practice address
124 Fort Hill Rd
Groton CT 06340-4335
Phone: (860) 333-7502
Fax: (860) 323-8172
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ISW01565 | Rhode Island |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 110254 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 006510 | Connecticut |
Profile Details
| NPI number | 1912008061 |
|---|---|
| LBN Legal business name | Connell, Cristina |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Feb 10th, 2021 - about 3 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 | 1912008061 | NPPES |
| Rhode Island | MEDICAID | 6651869 |
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