Allen, Jerilyn S
Allen, Jerilyn S is an sole proprietor health care provider with primary practice located at 36 Watson St , Willimantic CT 06226-2122. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngic Allergy, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Otolaryngology is her primary health care specialty. Allen, Jerilyn S can be contacted via phone (860) 456-0287.Contact Information
Primary practice address
36 Watson St
Willimantic CT 06226-2122
Phone: (860) 456-0287
Fax: (860) 456-3532
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngic Allergy | 207YX0602X | 034032 | Connecticut |
| Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X | 034032 | Connecticut |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 034032 | Connecticut |
| Allopathic & Osteopathic Physicians / Facial Plastic Surgery | 207YS0123X | 034032 | Connecticut |
Profile Details
| NPI number | 1588690374 |
|---|---|
| LBN Legal business name | Allen, Jerilyn S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Feb 22nd, 2018 - about 6 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 | 1588690374 | NPPES |
| Connecticut | MEDICAID | 001340322 |
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