Dizenzo, Jaimee Taylor

Dizenzo, Jaimee Taylor is an individual health care provider with primary practice located at 249 Spring Lake Rd , Southington CT 06489-4426. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Dizenzo, Jaimee Taylor can be contacted via phone (860) 681-1646.

Contact Information

Primary practice address
249 Spring Lake Rd Southington CT 06489-4426
Phone: (860) 681-1646
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 12251 Connecticut
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1942983960
LBN Legal business name Dizenzo, Jaimee Taylor
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2023
Last updated Aug 30th, 2023 - about last year

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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