Ly, David C

Ly, David C is an sole proprietor health care provider with primary practice located at 267 Grant St , Bridgeport CT 06610. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Ly, David C can be contacted via phone (203) 284-3000.

Contact Information

Primary practice address
267 Grant St Bridgeport CT 06610
Phone: (203) 284-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 020734 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA61060288 Washington
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2793 Connecticut

Profile Details

NPI number 1982954913
LBN Legal business name Ly, David C
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2012
Last updated Jun 16th, 2021 - about 3 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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