Grillo, Laura Marie

Grillo, Laura Marie is an individual health care provider with primary practice located at 263 Farmington Ave , Farmington CT 06030-8083. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Grillo, Laura Marie can be contacted via phone (860) 679-8080.

Contact Information

Primary practice address
263 Farmington Ave Farmington CT 06030-8083
Phone: (860) 679-8080
Fax: (860) 679-1340
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 003042 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 003042 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 003042 Connecticut

Profile Details

NPI number 1548681026
LBN Legal business name Grillo, Laura Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2013
Last updated Sep 28th, 2022 - about 2 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 1548681026 NPPES
Connecticut MEDICAID 003030426

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