Sievering, Laura R

Sievering, Laura R is an individual health care provider with primary practice located at 676 Hebron Ave , Glastonbury CT 06033-2410. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Sievering, Laura R can be contacted via phone (860) 696-2250.

Contact Information

Primary practice address
676 Hebron Ave Glastonbury CT 06033-2410
Phone: (860) 696-2250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X AP1681 Massachusetts

Profile Details

NPI number 1669437000
LBN Legal business name Sievering, Laura R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Mar 7th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669437000 NPPES
Massachusetts Other MS0528084J CSR
Massachusetts MEDICAID 1310097 CSR

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