Nessralla, Laurie-Ann
Nessralla, Laurie-Ann is an individual health care provider with primary practice located at 267 Grant St Bridgeport Hospital, Bridgeport CT 06610-2805. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Nessralla, Laurie-Ann can be contacted via phone (203) 384-3072.Contact Information
Primary practice address
267 Grant St Bridgeport Hospital
Bridgeport CT 06610-2805
Phone: (203) 384-3072
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 36642 | Connecticut |
Profile Details
| NPI number | 1417902370 |
|---|---|
| LBN Legal business name | Nessralla, Laurie-Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1417902370 | NPPES |
| Connecticut | Other | 5748143 | AETNA CT |
| Connecticut | MEDICAID | 1366427 | AETNA CT |
| Connecticut | Other | 36642 | AETNA CT |
| Connecticut | Other | 500HBA011CT01 | AETNA CT |
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