Levine, Eileen Pond

Levine, Eileen Pond is an individual health care provider with primary practice located at 455 Chase Pkwy Fl 3 Waterbury Hospital, Waterbury CT 06708-3352. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Levine, Eileen Pond can be contacted via phone (203) 578-3940.

Contact Information

Primary practice address
455 Chase Pkwy Fl 3 Waterbury Hospital Waterbury CT 06708-3352
Phone: (203) 578-3940
Fax: (203) 573-1527
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 002617 Connecticut

Profile Details

NPI number 1912909524
LBN Legal business name Levine, Eileen Pond
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Oct 8th, 2012 - about 14 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 1912909524 NPPES
Connecticut MEDICAID 004242963

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