Doss, Bertha M
Doss, Bertha M is an sole proprietor health care provider with primary practice located at 326 Washington St Anesthesia Department, Norwich CT 06360-2740. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Doss, Bertha M can be contacted via phone (860) 826-6395.Contact Information
Primary practice address
326 Washington St Anesthesia Department
Norwich CT 06360-2740
Phone: (860) 826-6395
Fax: (860) 823-6563
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 71264 | West Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 003771 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 209001074 | Illinois |
Profile Details
| NPI number | 1386701795 |
|---|---|
| LBN Legal business name | Doss, Bertha M |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Sep 15th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386701795 | NPPES |
| West Virginia | MEDICAID | 3810010339 | |
| West Virginia | Other | 71264 |
Popular Providers
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Newcomb, John P
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Marcuccio, Katie M.
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326 Washington Street , Norwich CT 18764 -
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326 Washington St, , Norwich CT 06360 -
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Caldrello, Lois
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