Valassis, Antonia

Valassis, Antonia is an individual health care provider with primary practice located at 120 New Canaan Ave , Norwalk CT 06850-2643. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Valassis, Antonia can be contacted via phone (203) 846-2398.

Contact Information

Primary practice address
120 New Canaan Ave Norwalk CT 06850-2643
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 050786 New York
Pharmacy Service Providers / Pharmacist 183500000X PCT0011279 Connecticut

Profile Details

NPI number 1871774026
LBN Legal business name Valassis, Antonia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2007
Last updated Aug 29th, 2013 - about 12 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 1871774026 NPPES
New York MEDICAID 01481727

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