Deloge, Jo-Ann
Deloge, Jo-Ann is an individual health care provider with primary practice located at 391 Ocean Avenue , New London CT 06320-4717. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Deloge, Jo-Ann can be contacted via phone (860) 447-2489.Contact Information
Primary practice address
391 Ocean Avenue
New London CT 06320-4717
Phone: (860) 447-2489
Fax: (860) 437-1231
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 002911 | Connecticut |
Profile Details
| NPI number | 1174611628 |
|---|---|
| LBN Legal business name | Deloge, Jo-Ann |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Feb 26th, 2020 - about 4 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 | 1174611628 | NPPES |
| Connecticut | MEDICAID | 004240678 |
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