Sam, Elvin Mathew

Sam, Elvin Mathew is an individual health care provider with primary practice located at 71 Haynes St , Manchester CT 06040-4131. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Sam, Elvin Mathew can be contacted via phone (860) 423-7558.

Contact Information

Primary practice address
71 Haynes St Manchester CT 06040-4131
Phone: (860) 423-7558
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 009820 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X STUDENT Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 685847-01 New York

Profile Details

NPI number 1548830623
LBN Legal business name Sam, Elvin Mathew
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2021
Last updated Sep 13th, 2022 - about 2 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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