Panetta, Anja Summers

Panetta, Anja Summers is an individual health care provider with primary practice located at 30 West Avon Road Suite E, Avon CT 06001-4275. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Panetta, Anja Summers can be contacted via phone (860) 674-9900.

Contact Information

Primary practice address
30 West Avon Road Suite E Avon CT 06001-4275
Phone: (860) 674-9900
Fax: (860) 678-0036
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 003080 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 003080 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 012881 New York
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 003080 Connecticut

Profile Details

NPI number 1083866776
LBN Legal business name Panetta, Anja Summers
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2008
Last updated Aug 2nd, 2021 - about 5 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 1083866776 NPPES
Connecticut MEDICAID 003030806

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