Roach, Semone Sabrina

Roach, Semone Sabrina is an individual health care provider with primary practice located at 1162 New Britain Ave , West Hartford CT 06110-2410. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Roach, Semone Sabrina can be contacted via phone (860) 236-3084.

Contact Information

Primary practice address
1162 New Britain Ave West Hartford CT 06110-2410
Fax: (860) 561-5961
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 004767 Connecticut

Profile Details

NPI number 1114201118
LBN Legal business name Roach, Semone Sabrina
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2011
Last updated Jun 22nd, 2021 - about 3 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 1114201118 NPPES
Connecticut Other P4428347 OXFORD-UNITED HEALTHCARE
Connecticut MEDICAID 008034903 OXFORD-UNITED HEALTHCARE

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