Deshpande, Judith Ann
Deshpande, Judith Ann is an individual health care provider with primary practice located at 300 Boston Post Rd Attn: Health Services, West Haven CT 06516-1916. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Deshpande, Judith Ann can be contacted via phone (203) 932-7079.Contact Information
Primary practice address
300 Boston Post Rd Attn: Health Services
West Haven CT 06516-1916
Phone: (203) 932-7079
Fax: (203) 931-6090
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 002853 | Connecticut |
Profile Details
| NPI number | 1528008489 |
|---|---|
| LBN Legal business name | Deshpande, Judith Ann |
| Credentials | APRN-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Aug 21st, 2015 - about 9 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 | 1528008489 | NPPES |
| Connecticut | MEDICAID | 004251857 | |
| Connecticut | Other | 223514271 | |
| Connecticut | Other | 2V4674 | |
| Connecticut | Other | 020853 | |
| Connecticut | Other | A752119 | |
| Connecticut | Other | 400002853CT01 |
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