Jennings, Irvin R

Jennings, Irvin R is an individual health care provider with primary practice located at 75 West St , Danbury CT 06810-6528. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Jennings, Irvin R can be contacted via phone (203) 748-5689.

Contact Information

Primary practice address
75 West St Danbury CT 06810-6528
Phone: (203) 748-5689
Fax: (203) 790-8183
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0015203 Connecticut
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 0015203 Connecticut

Profile Details

NPI number 1629141379
LBN Legal business name Jennings, Irvin R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629141379 NPPES
Other 010015203CT01 ANTHEM BLUE CROSS BLUE SH
Other 203644 ANTHEM BLUE CROSS BLUE SH

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