Delucia, Kathy E

Delucia, Kathy E is an individual health care provider with primary practice located at 305 Black Rock Tpke , Fairfield CT 06825-5508. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Delucia, Kathy E can be contacted via phone (203) 337-2600.

Contact Information

Primary practice address
305 Black Rock Tpke Fairfield CT 06825-5508
Phone: (203) 337-2600
Fax: (203) 337-2666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 000130 Connecticut

Profile Details

NPI number 1912920695
LBN Legal business name Delucia, Kathy E
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Mar 30th, 2017 - about 8 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 1912920695 NPPES
Connecticut Other 290000130CT01 ANTHEM BC/BS
Connecticut Other P3511340 ANTHEM BC/BS
Connecticut Other TIN ANTHEM BC/BS
Connecticut Other TIN ANTHEM BC/BS
Connecticut Other TIN ANTHEM BC/BS
Connecticut Other TIN ANTHEM BC/BS
Connecticut Other 9301 ANTHEM BC/BS
Connecticut Other 2V6005 ANTHEM BC/BS
Connecticut Other TIN ANTHEM BC/BS

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