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
Phone: (203) 375-7542
Fax: (203) 332-0376
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1427327071 | NPPES |
Connecticut | MEDICAID | 004234788 |
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