Mathew, Nisha
Mathew, Nisha is an individual health care provider with primary practice located at 1 Hospital Plz , Stamford CT 06902-3602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Mathew, Nisha can be contacted via phone (203) 276-7993.Contact Information
Primary practice address
1 Hospital Plz
Stamford CT 06902-3602
Phone: (203) 276-7993
Fax: (203) 276-7020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 017233 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | Connecticut |
Profile Details
| NPI number | 1427474220 |
|---|---|
| LBN Legal business name | Mathew, Nisha |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2014 |
| Last updated | Feb 28th, 2020 - about 6 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 | 1427474220 | NPPES |
| New York | MEDICAID | 03875725 | |
| New York | Other | A400101342 |
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