Haut, Lisa
Haut, Lisa is an individual health care provider with primary practice located at 227 Main St , Torrington CT 06790-5202. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Haut, Lisa can be contacted via phone (860) 618-5455.Contact Information
Primary practice address
227 Main St
Torrington CT 06790-5202
Phone: (860) 618-5455
Fax: (860) 618-2530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 001512 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 001512 | Connecticut |
Profile Details
| NPI number | 1962400150 |
|---|---|
| LBN Legal business name | Haut, Lisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Jan 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962400150 | NPPES |
| Connecticut | Other | 0015123630 | CONNECTICARE |
| Connecticut | Other | 90350 | CONNECTICARE |
| Connecticut | Other | 787904 | CONNECTICARE |
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