Pearson, Geraldine S

Pearson, Geraldine S is an individual health care provider with primary practice located at 65 Kane St , West Hartford CT 06119-2110. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Pearson, Geraldine S can be contacted via phone (860) 523-3745.

Contact Information

Primary practice address
65 Kane St West Hartford CT 06119-2110
Fax: (860) 523-6736
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 002804 Connecticut

Profile Details

NPI number 1952380842
LBN Legal business name Pearson, Geraldine S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated May 14th, 2013 - about 13 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 1952380842 NPPES
Connecticut Other R34692 REGISTERED NURSE
Connecticut Other 002804 REGISTERED NURSE
Connecticut MEDICAID 004236015 REGISTERED NURSE
Connecticut Other 1952380842 REGISTERED NURSE

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