Odell, Christine A

Odell, Christine A is an individual health care provider with primary practice located at 150 Sargent Dr Suite 6, New Haven CT 06511-6100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Odell, Christine A can be contacted via phone (203) 781-4321.

Contact Information

Primary practice address
150 Sargent Dr Suite 6 New Haven CT 06511-6100
Fax: (203) 781-4329
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 053435 Connecticut

Profile Details

NPI number 1255313813
LBN Legal business name Odell, Christine A
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Jan 8th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255313813 NPPES
Massachusetts MEDICAID 2037696
Massachusetts Other C06778
Massachusetts MEDICAID 008055097
Massachusetts Other C09463

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