Van Tassell, Audra
Van Tassell, Audra is an sole proprietor health care provider with primary practice located at 64 Thompson St # A-103104 , East Haven CT 06513-5707. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Van Tassell, Audra can be contacted via phone (203) 691-1685.Contact Information
Primary practice address
64 Thompson St # A-103104
East Haven CT 06513-5707
Phone: (203) 691-1685
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 4935 | Connecticut |
Profile Details
| NPI number | 1285204602 |
|---|---|
| LBN Legal business name | Van Tassell, Audra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2021 |
| Last updated | Jun 28th, 2021 - about 3 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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