Roche, Kaitlin Adams
Roche, Kaitlin Adams is an individual health care provider with primary practice located at 675 Main St , Middletown CT 06457-2632. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Roche, Kaitlin Adams can be contacted via phone (860) 347-6971.Contact Information
Primary practice address
675 Main St
Middletown CT 06457-2632
Phone: (860) 347-6971
Fax: (860) 343-7379
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4807 | Connecticut |
Profile Details
| NPI number | 1710269725 |
|---|---|
| LBN Legal business name | Roche, Kaitlin Adams |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2011 |
| Last updated | Oct 15th, 2018 - about 6 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 | 1710269725 | NPPES |
| Connecticut | MEDICAID | 004247872 |
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