Threat, Vonetta Elaine

Threat, Vonetta Elaine is an sole proprietor health care provider with primary practice located at 727 Honeyspot Rd , Stratford CT 06615-7172. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Threat, Vonetta Elaine can be contacted via phone (203) 375-7542.

Contact Information

Primary practice address
727 Honeyspot Rd Stratford CT 06615-7172
Fax: (203) 332-0376
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 004782 Connecticut

Profile Details

NPI number 1427327071
LBN Legal business name Threat, Vonetta Elaine
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2011
Last updated Feb 24th, 2014 - about 10 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 1427327071 NPPES
Connecticut MEDICAID 004234788

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