Clermont, Fredo J

Clermont, Fredo J is an individual health care provider with primary practice located at 114 Woodland St Fl 7 , Hartford CT 06105. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Clermont, Fredo J can be contacted via phone (860) 714-2750.

Contact Information

Primary practice address
114 Woodland St Fl 7 Hartford CT 06105
Phone: (860) 714-2750
Fax: (860) 714-8612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 006309 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 6309 Connecticut

Profile Details

NPI number 1649641150
LBN Legal business name Clermont, Fredo J
Credentials DNP, APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2015
Last updated Sep 3rd, 2019 - about 7 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 1649641150 NPPES
Connecticut Other 006309 LICENSE

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