Slattery, Stephanie J
Slattery, Stephanie J is an individual health care provider with primary practice located at 13 Peck St , North Haven CT 06473-2308. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Slattery, Stephanie J can be contacted via phone (203) 239-4627.Contact Information
Primary practice address
13 Peck St
North Haven CT 06473-2308
Phone: (203) 239-4627
Fax: (203) 234-8533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 043361 | Connecticut |
Profile Details
| NPI number | 1427112416 |
|---|---|
| LBN Legal business name | Slattery, Stephanie J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Apr 15th, 2015 - about 11 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 | 1427112416 | NPPES |
| Connecticut | MEDICAID | 001433614 |
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