Benes Dettmer, Jaimee A
Benes Dettmer, Jaimee A is an individual health care provider with primary practice located at 89 Hart St , Bridgeport CT 06606-5048. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Benes Dettmer, Jaimee A can be contacted via phone (203) 579-2229.Contact Information
Primary practice address
89 Hart St
Bridgeport CT 06606-5048
Phone: (203) 579-2229
Fax: (203) 579-0404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 045.45 | Connecticut |
Profile Details
| NPI number | 1609080431 |
|---|---|
| LBN Legal business name | Benes Dettmer, Jaimee A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1609080431 | NPPES |
| Connecticut | Other | 045345 | LICENSE |
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