Lamalfa, Mary Jette

Lamalfa, Mary Jette is an individual health care provider with primary practice located at 512 Saybrook Rd , Middletown CT 06457-4788. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Lamalfa, Mary Jette can be contacted via phone (830) 343-5997.

Contact Information

Primary practice address
512 Saybrook Rd Middletown CT 06457-4788
Phone: (830) 343-5997
Fax: (860) 343-6042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 3325 Connecticut

Profile Details

NPI number 1750399143
LBN Legal business name Lamalfa, Mary Jette
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jul 29th, 2011 - about 13 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 1750399143 NPPES
Connecticut Other 080003325CT14 BCBS
Connecticut MEDICAID 004111689 BCBS
Connecticut Other 4258766 BCBS
Connecticut Other 491670 BCBS
Connecticut Other P4309651 BCBS
Connecticut Other 761899 BCBS

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