Rubin, Stacey H

Rubin, Stacey H is an individual health care provider with primary practice located at 43 Wyndwood Road , West Hartford CT 06107. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Rubin, Stacey H can be contacted via phone (860) 231-7679.

Contact Information

Primary practice address
43 Wyndwood Road West Hartford CT 06107
Phone: (860) 231-7679
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 001391 Connecticut

Profile Details

NPI number 1215167747
LBN Legal business name Rubin, Stacey H
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2009
Last updated Sep 22nd, 2022 - about 4 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 1215167747 NPPES
Connecticut MEDICAID 1215947387

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