Kenkare, Jeannie M

Kenkare, Jeannie M is an individual health care provider with primary practice located at 31 Old Route 7 , Brookfield CT 06804-1711. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kenkare, Jeannie M can be contacted via phone (203) 885-0808.

Contact Information

Primary practice address
31 Old Route 7 Brookfield CT 06804-1711
Fax: (203) 885-0813
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 042010 Connecticut

Profile Details

NPI number 1245203231
LBN Legal business name Kenkare, Jeannie M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Nov 29th, 2017 - about 8 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 1245203231 NPPES
Connecticut MEDICAID 001420108

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