Sundstrom, Laura
Sundstrom, Laura is an individual health care provider with primary practice located at 374 Grand Ave Fair Haven Community Health Center, New Haven CT 06513. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Sundstrom, Laura can be contacted via phone (203) 777-7411.Contact Information
Primary practice address
374 Grand Ave Fair Haven Community Health Center
New Haven CT 06513
Phone: (203) 777-7411
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 000279 | Connecticut |
Profile Details
NPI number | 1720056963 |
---|---|
LBN Legal business name | Sundstrom, Laura |
Credentials | Certified Nurse Midwife (CNM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 14th, 2006 |
Last updated | Feb 11th, 2009 - about 15 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 | 1720056963 | NPPES |
Connecticut | MEDICAID | 004235900 |
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