Desmond, Christine Elaine
Desmond, Christine Elaine is an sole proprietor health care provider with primary practice located at 949 Bridgeport Ave , Milford CT 06460-3142. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Desmond, Christine Elaine can be contacted via phone (203) 878-6365.Contact Information
Primary practice address
949 Bridgeport Ave
Milford CT 06460-3142
Phone: (203) 878-6365
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 060365 | Connecticut |
Profile Details
| NPI number | 1114025962 |
|---|---|
| LBN Legal business name | Desmond, Christine Elaine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1114025962 | NPPES |
| Connecticut | MEDICAID | 004039244 |
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