Fernandes, Stephanie
Fernandes, Stephanie is an sole proprietor health care provider with primary practice located at 30 Main St Suite 503, Danbury CT 06810-3040. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Fernandes, Stephanie can be contacted via phone (203) 743-4412.Contact Information
Primary practice address
30 Main St Suite 503
Danbury CT 06810-3040
Phone: (203) 743-4412
Fax: (203) 744-3500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1104005727 |
|---|---|
| LBN Legal business name | Fernandes, Stephanie |
| Credentials | Bachelor of Arts (BA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2007 |
| Last updated | Oct 31st, 2007 - about 19 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 | 1104005727 | NPPES |
| Connecticut | MEDICAID | 004040655 |
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