Lahaie, Marissa

Lahaie, Marissa is an individual health care provider with primary practice located at 330 Pomfret St , Putnam CT 06260-1854. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Lahaie, Marissa can be contacted via phone (860) 928-2736.

Contact Information

Primary practice address
330 Pomfret St Putnam CT 06260-1854
Phone: (860) 928-2736
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4781 Connecticut

Profile Details

NPI number 1114208758
LBN Legal business name Lahaie, Marissa
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2011
Last updated Oct 24th, 2018 - about 7 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 1114208758 NPPES
Connecticut MEDICAID 008035051

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