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Contact Information

DOMENICK BIANCHI, APRN
201 CHESTNUT HILL RD
STAFFORD SPRINGS, CT06076-4005
 Phone: 413-455-6638
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for DOMENICK BIANCHI · (Male)

NPI # 1407318637
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 04/05/2019
Last updated 04/05/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 8139
Hospital affiliation(s)
  • JOHNSON MEMORIAL HOSPITAL - (Acute Care)
    201 CHESTNUT HILL RD
    STAFFORD SPRINGS, CT 06076
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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