Poulsen, Diana G
Poulsen, Diana G is an sole proprietor health care provider with primary practice located at Yale New Haven Pediatric Ed 1 Park St, New Haven CT 06504. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Poulsen, Diana G can be contacted via phone (203) 688-4242.Contact Information
Primary practice address
Yale New Haven Pediatric Ed 1 Park St
New Haven CT 06504
Phone: (203) 688-4242
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | Connecticut | |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 4174 | Connecticut |
Profile Details
| NPI number | 1962872523 |
|---|---|
| LBN Legal business name | Poulsen, Diana G |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2015 |
| Last updated | Aug 20th, 2019 - about 7 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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