Fernandes, Cecilia Marie
Fernandes, Cecilia Marie is an individual health care provider with primary practice located at 30 Elizabeth St Ste 2 , Derby CT 06418-1802. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Fernandes, Cecilia Marie can be contacted via phone (203) 736-5460.Contact Information
Primary practice address
30 Elizabeth St Ste 2
Derby CT 06418-1802
Phone: (203) 736-5460
Fax: (203) 736-5462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 8467 | Connecticut |
Profile Details
| NPI number | 1255865200 |
|---|---|
| LBN Legal business name | Fernandes, Cecilia Marie |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2017 |
| Last updated | Apr 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255865200 | NPPES |
| Connecticut | MEDICAID | 004235900 |
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