Reardon, Lorraine Dawn
Reardon, Lorraine Dawn is an individual health care provider with primary practice located at 21 Grand Street , Hartford CT 06106. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Reardon, Lorraine Dawn can be contacted via phone (860) 550-7500.Contact Information
Primary practice address
21 Grand Street
Hartford CT 06106
Phone: (860) 550-7500
Fax: (860) 550-7501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | Connecticut |
Profile Details
| NPI number | 1013996909 |
|---|---|
| LBN Legal business name | Reardon, Lorraine Dawn |
| Credentials | RD CDN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2006 |
| Last updated | Nov 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013996909 | NPPES |
| Connecticut | MEDICAID | 004236007 | |
| Connecticut | Other | 000557 |
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