Smith, Dorothea

Smith, Dorothea is an individual health care provider with primary practice located at 2 Church St. , New Haven CT 06519. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Smith, Dorothea can be contacted via phone (203) 787-2264.

Contact Information

Primary practice address
2 Church St. New Haven CT 06519
Phone: (203) 787-2264
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 002890 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 2890 Connecticut

Profile Details

NPI number 1699729475
LBN Legal business name Smith, Dorothea
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Nov 7th, 2016 - about 8 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 1699729475 NPPES
Connecticut Other 500001470 MEDICARE OTHER
Connecticut MEDICAID 004249696 MEDICARE OTHER

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