Douyard, Andrea

Douyard, Andrea is an individual health care provider with primary practice located at 179 Roseland Ave , Waterbury CT 06710. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Douyard, Andrea can be contacted via phone (203) 574-4747.

Contact Information

Primary practice address
179 Roseland Ave Waterbury CT 06710
Phone: (203) 574-4747
Fax: (203) 574-2251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 000597 Connecticut

Profile Details

NPI number 1386679355
LBN Legal business name Douyard, Andrea
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jul 22nd, 2014 - about 12 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 1386679355 NPPES
Connecticut Other PENDING RAILROAD MEDICARE
Connecticut MEDICAID 008036775 RAILROAD MEDICARE
Connecticut Other 1186042 RAILROAD MEDICARE

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