Corradino, Joan

Corradino, Joan is an individual health care provider with primary practice located at 1216 Farmington Ave Room 102, West Hartford CT 06107-2672. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Corradino, Joan can be contacted via phone (860) 561-1007.

Contact Information

Primary practice address
1216 Farmington Ave Room 102 West Hartford CT 06107-2672
Phone: (860) 561-1007
Fax: (860) 561-1222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 002269 Connecticut

Profile Details

NPI number 1104849553
LBN Legal business name Corradino, Joan
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Apr 15th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104849553 NPPES
Connecticut MEDICAID 004262929

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