Fritch, Lisa

Fritch, Lisa is an individual health care provider with primary practice located at 711 Cottage Grove Rd , Bloomfield CT 06002-3060. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fritch, Lisa can be contacted via phone (860) 242-8756.

Contact Information

Primary practice address
711 Cottage Grove Rd Bloomfield CT 06002-3060
Phone: (860) 242-8756
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 002892 Connecticut

Profile Details

NPI number 1770545261
LBN Legal business name Fritch, Lisa
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Feb 10th, 2014 - about 10 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 1770545261 NPPES
Connecticut MEDICAID 004238730
Connecticut Other P00070510

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