Ennis, Everol M

Ennis, Everol M is an individual health care provider with primary practice located at 400 Capital Blvd Suite 3-134, Rocky Hill CT 06067-3576. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Ennis, Everol M can be contacted via phone (860) 227-1343.

Contact Information

Primary practice address
400 Capital Blvd Suite 3-134 Rocky Hill CT 06067-3576
Phone: (860) 227-1343
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 004168 Connecticut

Profile Details

NPI number 1205069614
LBN Legal business name Ennis, Everol M
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2009
Last updated May 9th, 2014 - about 11 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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