Gonell, Carissa L
Gonell, Carissa L is an individual health care provider with primary practice located at 85 Seymour St , Hartford CT 06106-5501. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Gonell, Carissa L can be contacted via phone (860) 246-4029.Contact Information
Primary practice address
85 Seymour St
Hartford CT 06106-5501
Phone: (860) 246-4029
Fax: (860) 240-7072
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 000337 | Connecticut |
Profile Details
| NPI number | 1831428150 |
|---|---|
| LBN Legal business name | Gonell, Carissa L |
| Credentials | LNM |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2009 |
| Last updated | Sep 1st, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831428150 | NPPES |
| Connecticut | Other | 000337 | LICENSE |
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