Smith, Gabriella Elizabeth
Smith, Gabriella Elizabeth is an individual health care provider with primary practice located at 711 Cottage Grove Rd , Bloomfield CT 06002-3060. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Smith, Gabriella Elizabeth can be contacted via phone (860) 242-8756.Contact Information
Primary practice address
711 Cottage Grove Rd
Bloomfield CT 06002-3060
Phone: (860) 242-8756
Fax: (860) 242-3052
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 000729 | Connecticut |
Profile Details
| NPI number | 1700883709 |
|---|---|
| LBN Legal business name | Smith, Gabriella Elizabeth |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Jan 24th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700883709 | NPPES |
| Connecticut | Other | D400341167 | MEDICARE |
| Connecticut | MEDICAID | 008057590 | MEDICARE |
| Connecticut | Other | P01758342 | MEDICARE |
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