Haviland, Darlene Marie
Haviland, Darlene Marie is an individual health care provider with primary practice located at 113 Elm St , Enfield CT 06082-3700. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Haviland, Darlene Marie can be contacted via phone (860) 741-2225.Contact Information
Primary practice address
113 Elm St
Enfield CT 06082-3700
Phone: (860) 741-2225
Fax: (860) 741-2229
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 001494 | Connecticut |
Profile Details
| NPI number | 1720067879 |
|---|---|
| LBN Legal business name | Haviland, Darlene Marie |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1720067879 | NPPES |
| Connecticut | Other | 290001494CT01 | ANTHEM BLUE CROSS |
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