Jerome, Jennifer

Jerome, Jennifer is an individual health care provider with primary practice located at 668 Bank St , New London CT 06320-5040. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Jerome, Jennifer can be contacted via phone (860) 442-4600.

Contact Information

Primary practice address
668 Bank St New London CT 06320-5040
Phone: (860) 442-4600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X

Profile Details

NPI number 1841300555
LBN Legal business name Jerome, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 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 1841300555 NPPES
Connecticut Other 000417 LICENSE

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