Zax, Shoshana

Zax, Shoshana is an individual health care provider with primary practice located at 60 Washington Ave Suite 201, Hamden CT 06518-3271. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Other Service Providers / Specialist is her primary health care specialty. Zax, Shoshana can be contacted via phone (203) 230-2939.

Contact Information

Primary practice address
60 Washington Ave Suite 201 Hamden CT 06518-3271
Fax: (203) 287-1845
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X E47317 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 000016 Connecticut

Profile Details

NPI number 1841229622
LBN Legal business name Zax, Shoshana
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated Mar 26th, 2014 - about 11 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 1841229622 NPPES
Connecticut MEDICAID 004183406

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