Masternak, Sophie
Masternak, Sophie is an individual health care provider with primary practice located at 263 Farmington Ave , Farmington CT 06030-0001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Masternak, Sophie can be contacted via phone (860) 679-2100.Contact Information
Primary practice address
263 Farmington Ave
Farmington CT 06030-0001
Phone: (860) 679-2100
Fax: (860) 679-4815
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 1349 | Connecticut |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 001349 | Connecticut |
Profile Details
NPI number | 1861561680 |
---|---|
LBN Legal business name | Masternak, Sophie |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 7th, 2006 |
Last updated | Feb 5th, 2016 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861561680 | NPPES |
Colorado | Other | 1349 | CT STATE LICENSE |
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