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Contact Information

DOREEN A RACKLIFFE, PA-C
255 N MAIN ST
SUITE 100
BRISTOL, CT06010-4972
 Phone: 860-582-3942
 Fax: 860-584-6529
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DOREEN A RACKLIFFE · (Female)

NPI # 1710965397
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/04/2006
Last updated 10/28/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 000825
Hospital affiliation(s)
  • SAINT MARYS HOSPITAL - (Acute Care)
    56 FRANKLIN ST
    WATERBURY, CT 06706
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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