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Contact Information

CARLEEN BLOIS, PA
100 GRAND STREET
MEDICAL STAFF OFFICE, ATT: ONDREA CHASSE
NEW BRITAIN, CT06050
 Phone: 860-224-5305
 Fax: 860-224-5565
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CARLEEN BLOIS · (Female)

NPI # 1104920248
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 09/11/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 000477
Hospital affiliation(s)
  • MIDSTATE MEDICAL CENTER - (Acute Care)
    435 LEWIS AVE
    MERIDEN, CT 06450
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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