Qureshi, Marcy Lynn
Qureshi, Marcy Lynn is an individual health care provider with primary practice located at 2400 Tamarack Ave Suite 101, South Windsor CT 06074-5555. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Qureshi, Marcy Lynn can be contacted via phone (860) 644-4442.Contact Information
Primary practice address
2400 Tamarack Ave Suite 101
South Windsor CT 06074-5555
Phone: (860) 644-4442
Fax: (860) 644-1412
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 048828 | Connecticut |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 048828 | Connecticut |
Profile Details
| NPI number | 1164600615 |
|---|---|
| LBN Legal business name | Qureshi, Marcy Lynn |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2008 |
| Last updated | Mar 12th, 2017 - about 7 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 | 1164600615 | NPPES |
| Connecticut | MEDICAID | 008022958 | |
| Connecticut | Other | 2465560 | |
| Connecticut | Other | 2018368 | |
| Connecticut | Other | 048828 |
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