Pouliot, Marie Helene

Pouliot, Marie Helene is an individual health care provider with primary practice located at 1062 Barnes Road Suite 102, Wallingford CT 06492. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Pouliot, Marie Helene can be contacted via phone (203) 294-6328.

Contact Information

Primary practice address
1062 Barnes Road Suite 102 Wallingford CT 06492
Phone: (203) 294-6328
Fax: (203) 294-6346
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 038992 Connecticut
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 038992 Connecticut

Profile Details

NPI number 1982780227
LBN Legal business name Pouliot, Marie Helene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2006
Last updated Jul 7th, 2011 - about 14 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 1982780227 NPPES
Connecticut MEDICAID 001389924
Connecticut Other P2664394
Connecticut Other 739460
Connecticut Other 2822247
Connecticut Other 2V5651

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