Schmidt, Marlie Dana
Schmidt, Marlie Dana is an individual health care provider with primary practice located at 71 Haynes St Eastern Connecticut Health Network, Manchester CT 06040-4131. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Schmidt, Marlie Dana can be contacted via phone (860) 647-6475.Contact Information
Primary practice address
71 Haynes St Eastern Connecticut Health Network
Manchester CT 06040-4131
Phone: (860) 647-6475
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0049093 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 002418 | Connecticut |
Profile Details
| NPI number | 1235449638 |
|---|---|
| LBN Legal business name | Schmidt, Marlie Dana |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2010 |
| Last updated | Jun 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 | 1235449638 | NPPES |
| Connecticut | MEDICAID | 003024189 |
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