Masternak, Sophie

Masternak, Sophie is an individual health care provider with primary practice located at 263 Farmington Ave , Farmington CT 06030-0001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Masternak, Sophie can be contacted via phone (860) 679-2100.

Contact Information

Primary practice address
263 Farmington Ave Farmington CT 06030-0001
Phone: (860) 679-2100
Fax: (860) 679-4815
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 1349 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 001349 Connecticut

Profile Details

NPI number 1861561680
LBN Legal business name Masternak, Sophie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Feb 5th, 2016 - about 10 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 1861561680 NPPES
Colorado Other 1349 CT STATE LICENSE

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