Reisch, Joanne

Reisch, Joanne is an individual health care provider with primary practice located at 1952 Whitney Ave , Hamden CT 06517-1209. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Reisch, Joanne can be contacted via phone (203) 848-1803.

Contact Information

Primary practice address
1952 Whitney Ave Hamden CT 06517-1209
Phone: (203) 848-1803
Fax: (203) 848-1777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 031169 Connecticut

Profile Details

NPI number 1417941519
LBN Legal business name Reisch, Joanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Dec 4th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417941519 NPPES
Connecticut Other 00131169600 BLUE CARE FAMILY PLAN
Connecticut Other 311690 BLUE CARE FAMILY PLAN
Connecticut Other 1042650 BLUE CARE FAMILY PLAN
Connecticut Other 110084295 BLUE CARE FAMILY PLAN
Connecticut Other 4372607 BLUE CARE FAMILY PLAN
Connecticut Other 010031169CT03 BLUE CARE FAMILY PLAN
Connecticut Other 021030 BLUE CARE FAMILY PLAN
Connecticut Other 0293650-004 BLUE CARE FAMILY PLAN
Connecticut MEDICAID 1311696 BLUE CARE FAMILY PLAN
Connecticut Other ZS684 BLUE CARE FAMILY PLAN

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