Dr. Jeffrey Small

LBN: Dr. Jeffrey Small
Dr. Jeffrey Small is an health care organization with primary practice located at 4695 Main St , Bridgeport CT 06606-1802. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Dr. Jeffrey Small can be contacted via phone (203) 372-4419, or through Small, Jeffrey Daniel via phone (203) 372-4419.

Contact Information

Primary practice address
4695 Main St Bridgeport CT 06606-1802
Phone: (203) 372-4419
Fax: (203) 372-4919
Website:
Map and Directions
Authorized official contact:
Name: Small, Jeffrey Daniel
Phone: (203) 372-4419

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X BS3578397 Connecticut

Profile Details

NPI number 1740519883
LBN Legal business name Dr. Jeffrey Small
DBA Doing business as
Authorized official Small, Jeffrey Daniel
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2009
Last updated Jan 14th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740519883 NPPES
Connecticut Other 125947 WELLCARE
Connecticut Other ZS278 WELLCARE
Connecticut Other 003985 WELLCARE
Connecticut MEDICAID 001304956 WELLCARE
Connecticut Other 4337423 WELLCARE
Connecticut Other 01030495CT03 WELLCARE

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