Larosa, Dominique

Larosa, Dominique is an individual health care provider with primary practice located at 73 East St , Plainville CT 06062-2341. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Larosa, Dominique can be contacted via phone (860) 335-2960.

Contact Information

Primary practice address
73 East St Plainville CT 06062-2341
Phone: (860) 335-2960
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1831610211
LBN Legal business name Larosa, Dominique
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2017
Last updated Jul 6th, 2017 - about 9 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 1831610211 NPPES
Other 97054599605 CONNECTICARE

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