Hago, Luz

Hago, Luz is an individual health care provider with primary practice located at 635 Main St , Middletown CT 06457-2718. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Hago, Luz can be contacted via phone (860) 347-6971.

Contact Information

Primary practice address
635 Main St Middletown CT 06457-2718
Phone: (860) 347-6971
Fax: (860) 343-7379
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 000387 Connecticut

Profile Details

NPI number 1770814105
LBN Legal business name Hago, Luz
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2010
Last updated Jan 25th, 2010 - about 15 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 1770814105 NPPES
Connecticut MEDICAID 004236346

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