Ford, Donna

Ford, Donna is an individual health care provider with primary practice located at 1 Lake St , New Britain CT 06052-1396. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Ford, Donna can be contacted via phone (860) 348-4242.

Contact Information

Primary practice address
1 Lake St New Britain CT 06052-1396
Phone: (860) 348-4242
Fax: (860) 348-4646
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 003681 Connecticut

Profile Details

NPI number 1609064054
LBN Legal business name Ford, Donna
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2007
Last updated May 8th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609064054 NPPES
Connecticut Other 423198 WELLCARE MEDICARE
Connecticut Other 103681 WELLCARE MEDICARE
Connecticut Other 400003681CT01 WELLCARE MEDICARE
Connecticut Other 400003681CT02 WELLCARE MEDICARE
Connecticut MEDICAID 004272283 WELLCARE MEDICARE

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