Rosengren, Sally
Rosengren, Sally is an individual health care provider with primary practice located at 65 Kane St Genetics, West Hartford CT 06119-2110. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is her primary health care specialty. Rosengren, Sally can be contacted via phone (860) 523-6464.Contact Information
Primary practice address
65 Kane St Genetics
West Hartford CT 06119-2110
Phone: (860) 523-6464
Fax: (860) 523-6465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | 025891 | Connecticut |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 025891 | Connecticut |
Profile Details
| NPI number | 1912904335 |
|---|---|
| LBN Legal business name | Rosengren, Sally |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Aug 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912904335 | NPPES |
| Connecticut | MEDICAID | 1258912 |
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