Perry, Debra
Perry, Debra is an individual health care provider with primary practice located at 232 Cedar St , New Haven CT 06519-1610. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Perry, Debra can be contacted via phone (203) 503-3300.Contact Information
Primary practice address
232 Cedar St
New Haven CT 06519-1610
Phone: (203) 503-3300
Fax: (203) 781-0276
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Addiction (Substance Use Disorder) | 163WA0400X | R45126 | Connecticut |
Profile Details
NPI number | 1306132329 |
---|---|
LBN Legal business name | Perry, Debra |
Credentials | Registered Nurse (RN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 28th, 2011 |
Last updated | Jun 28th, 2011 - about 13 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 | 1306132329 | NPPES |
Connecticut | MEDICAID | 004235918 | |
Connecticut | MEDICAID | 004235900 |
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