Nessralla, Laurie-Ann

Nessralla, Laurie-Ann is an individual health care provider with primary practice located at 267 Grant St Bridgeport Hospital, Bridgeport CT 06610-2805. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Nessralla, Laurie-Ann can be contacted via phone (203) 384-3072.

Contact Information

Primary practice address
267 Grant St Bridgeport Hospital Bridgeport CT 06610-2805
Phone: (203) 384-3072
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 36642 Connecticut

Profile Details

NPI number 1417902370
LBN Legal business name Nessralla, Laurie-Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Jul 8th, 2007 - about 19 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 1417902370 NPPES
Connecticut Other 5748143 AETNA CT
Connecticut MEDICAID 1366427 AETNA CT
Connecticut Other 36642 AETNA CT
Connecticut Other 500HBA011CT01 AETNA CT

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