Robbenhaar-Fretz, Mary Louise
Robbenhaar-Fretz, Mary Louise is an sole proprietor health care provider with primary practice located at 255 Hempstead St , New London CT 06320-6204. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Robbenhaar-Fretz, Mary Louise can be contacted via phone (860) 443-2896.Contact Information
Primary practice address
255 Hempstead St
New London CT 06320-6204
Phone: (860) 443-2896
Fax: (860) 442-5909
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 001966 | Connecticut |
Profile Details
| NPI number | 1508951799 |
|---|---|
| LBN Legal business name | Robbenhaar-Fretz, Mary Louise |
| Credentials | APRN, CPNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Oct 17th, 2016 - about 9 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 | 1508951799 | NPPES |
| Connecticut | MEDICAID | 004219706 |
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