Odonnell, Eileen Joy

Odonnell, Eileen Joy is an individual health care provider with primary practice located at 345 Montauk Ave , New London CT 06320-4738. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Odonnell, Eileen Joy can be contacted via phone (860) 444-6711.

Contact Information

Primary practice address
345 Montauk Ave New London CT 06320-4738
Phone: (860) 444-6711
Fax: (860) 437-0650
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 000368 Connecticut

Profile Details

NPI number 1063412542
LBN Legal business name Odonnell, Eileen Joy
Credentials RN, APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2005
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 1063412542 NPPES
Connecticut Other 400000368CT04 BLUE CROSS BLUE SHIELD
Connecticut Other 2V5541 BLUE CROSS BLUE SHIELD
Connecticut Other 368000 BLUE CROSS BLUE SHIELD

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