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Contact Information

ELIZABETH CHASSE
160 WOLCOTT ST
BRISTOL, CT06010-9701
 Phone: 860-589-8872
 Fax: 860-589-6468
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ELIZABETH CHASSE · (Female)

NPI Number 1881004828
Status Active
Credentials
Entity Individual
Enumeration date 04/29/2014
Last updated 11/07/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 066325
  • RI License # MD15861
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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