Cronmiller, Susanna Dahl

Cronmiller, Susanna Dahl is an individual health care provider with primary practice located at 5520 Park Ave , Trumbull CT 06611-3463. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cronmiller, Susanna Dahl can be contacted via phone (203) 502-8400.

Contact Information

Primary practice address
5520 Park Ave Trumbull CT 06611-3463
Phone: (203) 502-8400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 335939 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 7034 Connecticut

Profile Details

NPI number 1003141706
LBN Legal business name Cronmiller, Susanna Dahl
Credentials F.N.P, APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2009
Last updated Feb 28th, 2018 - about 7 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 1003141706 NPPES
New York MEDICAID 03421996

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