Nyberg, Catherine Burns

Nyberg, Catherine Burns is an individual health care provider with primary practice located at 47 Town St , Norwich CT 06360-2315. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Nyberg, Catherine Burns can be contacted via phone (860) 892-7042.

Contact Information

Primary practice address
47 Town St Norwich CT 06360-2315
Fax: (860) 892-7043
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6568 Connecticut

Profile Details

NPI number 1669419073
LBN Legal business name Nyberg, Catherine Burns
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Mar 14th, 2012 - about 14 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 1669419073 NPPES
Connecticut MEDICAID 002065680

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