Kamovitch, Susan M
Kamovitch, Susan M is an individual health care provider with primary practice located at 206 South Street Smr Health Care, Fairfield CT 06824. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kamovitch, Susan M can be contacted via phone (203) 255-3367.Contact Information
Primary practice address
206 South Street Smr Health Care
Fairfield CT 06824
Phone: (203) 255-3367
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 001830 | Connecticut |
Profile Details
| NPI number | 1609879485 |
|---|---|
| LBN Legal business name | Kamovitch, Susan M |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Mar 13th, 2023 - about last year |
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 | 1609879485 | NPPES |
| Connecticut | MEDICAID | 004236718 |
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