Blumenfeld-Jaffe, Fern
Blumenfeld-Jaffe, Fern is an individual health care provider with primary practice located at 64 Black Rock Ave , Bridgeport CT 06605-1200. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Blumenfeld-Jaffe, Fern can be contacted via phone (203) 337-5174.Contact Information
Primary practice address
64 Black Rock Ave
Bridgeport CT 06605-1200
Phone: (203) 337-5174
Fax: (203) 337-5177
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | 000045 | Connecticut |
Profile Details
| NPI number | 1891778858 |
|---|---|
| LBN Legal business name | Blumenfeld-Jaffe, Fern |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1891778858 | NPPES |
| Connecticut | Other | 000045 | STATE LICENSE |
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