Cretella, Lori J.

Cretella, Lori J. is an individual health care provider with primary practice located at 6 Devine St , North Haven CT 06473-2195. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Cretella, Lori J. can be contacted via phone (203) 789-6047.

Contact Information

Primary practice address
6 Devine St North Haven CT 06473-2195
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 039546 Connecticut

Profile Details

NPI number 1619934130
LBN Legal business name Cretella, Lori J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Dec 4th, 2015 - about 10 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 1619934130 NPPES
Connecticut Other 010039546CT03 ANTHEM BLUE CROSS AND BLU
Connecticut MEDICAID 001395468 ANTHEM BLUE CROSS AND BLU

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