Clay, Adele I

Clay, Adele I is an individual health care provider with primary practice located at 375 Willard Ave Starling Physicians, Newington CT 06111-2300. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Clay, Adele I can be contacted via phone (860) 666-5111.

Contact Information

Primary practice address
375 Willard Ave Starling Physicians Newington CT 06111-2300
Phone: (860) 666-5111
Fax: (860) 826-4957
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 003229 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 003229 Connecticut

Profile Details

NPI number 1881670933
LBN Legal business name Clay, Adele I
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Jan 25th, 2016 - 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 1881670933 NPPES
Connecticut MEDICAID 004221959
Connecticut Other 370018
Connecticut Other 2V7383
Connecticut Other 322900
Connecticut Other 400003229CT02
Connecticut Other 1255448155
Connecticut Other 004224846
Connecticut Other 400003229CT01
Connecticut Other P3654104

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