Eversgerd, Jayson Lee

Eversgerd, Jayson Lee is an individual health care provider with primary practice located at 100 Grand St , New Britain CT 06052-2016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Eversgerd, Jayson Lee can be contacted via phone (860) 224-5675.

Contact Information

Primary practice address
100 Grand St New Britain CT 06052-2016
Fax: (860) 224-5774
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 044170 Connecticut

Profile Details

NPI number 1740234251
LBN Legal business name Eversgerd, Jayson Lee
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Sep 6th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740234251 NPPES
Connecticut Other 044170 MEDICAL LICENSE

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