Faris, Jason Phillip

Faris, Jason Phillip is an individual health care provider with primary practice located at 15 Mohegan Ave , New London CT 06320-8100. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Faris, Jason Phillip can be contacted via phone (860) 444-8424.

Contact Information

Primary practice address
15 Mohegan Ave New London CT 06320-8100
Phone: (860) 444-8424
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1063488443
LBN Legal business name Faris, Jason Phillip
Credentials HEALTH SERVICES TECH
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
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.

Request for update

Popular Providers