Eagleson, Christina Marie

Eagleson, Christina Marie is an individual health care provider with primary practice located at 80 Seymour Street Hartford Hospital Medicine Dept, Hartford CT 06102-5037. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Eagleson, Christina Marie can be contacted via phone (860) 972-2085.

Contact Information

Primary practice address
80 Seymour Street Hartford Hospital Medicine Dept Hartford CT 06102-5037
Phone: (860) 972-2085
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 002531 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 002531 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 002531 Connecticut

Profile Details

NPI number 1114222429
LBN Legal business name Eagleson, Christina Marie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2011
Last updated Apr 2nd, 2015 - 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 1114222429 NPPES
Connecticut MEDICAID 003025319

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