Bootle, Jessica Elaine

Bootle, Jessica Elaine is an individual health care provider with primary practice located at 55 Park St , New Haven CT 06511-5474. She recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as her primary health care specialty. Bootle, Jessica Elaine can be contacted via phone (203) 688-1111.

Contact Information

Primary practice address
55 Park St New Haven CT 06511-5474
Phone: (203) 688-1111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X PCT.0013734 Connecticut

Profile Details

NPI number 1821656083
LBN Legal business name Bootle, Jessica Elaine
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2019
Last updated Jun 3rd, 2019 - 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.

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