Finefrock, Jennifer Marie
Finefrock, Jennifer Marie is an individual health care provider with primary practice located at 132 Main St Ste 2A , Southington CT 06489-2561. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Finefrock, Jennifer Marie can be contacted via phone (860) 276-4459.Contact Information
Primary practice address
132 Main St Ste 2A
Southington CT 06489-2561
Phone: (860) 276-4459
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 006113 | Connecticut |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
NPI number | 1346521754 |
---|---|
LBN Legal business name | Finefrock, Jennifer Marie |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 30th, 2011 |
Last updated | Jun 6th, 2023 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1346521754 | NPPES |
Connecticut | Other | 93-1651908 | IRS |
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