Diaz, Rosadel
Diaz, Rosadel is an sole proprietor health care provider with primary practice located at 82 New Park Ave , North Franklin CT 06254-1807. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Diaz, Rosadel can be contacted via phone (860) 885-7223.Contact Information
Primary practice address
82 New Park Ave
North Franklin CT 06254-1807
Phone: (860) 885-7223
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 12385 | Connecticut |
Profile Details
NPI number | 1649826439 |
---|---|
LBN Legal business name | Diaz, Rosadel |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 16th, 2019 |
Last updated | Aug 16th, 2019 - about 5 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 | 1649826439 | NPPES |
Connecticut | MEDICAID | 004002358 | |
Connecticut | Other | C00123 |
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