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
Phone: (860) 236-3084
Fax: (860) 561-5961
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114201118 | NPPES |
Connecticut | Other | P4428347 | OXFORD-UNITED HEALTHCARE |
Connecticut | MEDICAID | 008034903 | OXFORD-UNITED HEALTHCARE |
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