Johnston, Lisabeth Emerson

Johnston, Lisabeth Emerson is an individual health care provider with primary practice located at 361 Park Road , West Hartford CT 06119. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Johnston, Lisabeth Emerson can be contacted via phone (860) 523-1101.

Contact Information

Primary practice address
361 Park Road West Hartford CT 06119
Phone: (860) 523-1101
Fax: (860) 233-4305
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 000355 Connecticut

Profile Details

NPI number 1306909601
LBN Legal business name Johnston, Lisabeth Emerson
Credentials PHD APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Mar 7th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306909601 NPPES
Other 0004645744 AETNA
Other 692201 AETNA
Other 6197478 AETNA
Other ZA8706 AETNA
Other P2742846 AETNA
Other 135998 AETNA
Other 168777 AETNA
Other 400000355CT03 AETNA

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