Madeira, Efrain

Madeira, Efrain is an individual health care provider with primary practice located at 400 Columbus Ave , New Haven CT 06519-1233. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Madeira, Efrain can be contacted via phone (203) 503-3000.

Contact Information

Primary practice address
400 Columbus Ave New Haven CT 06519-1233
Phone: (203) 503-3000
Fax: (203) 503-3066
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1992187280
LBN Legal business name Madeira, Efrain
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2015
Last updated Jun 24th, 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 1992187280 NPPES
Connecticut MEDICAID 004235918

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