Koshy, Jenny

Koshy, Jenny is an individual health care provider with primary practice located at 5 N Main St , Enfield CT 06082-3372. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Koshy, Jenny can be contacted via phone (860) 347-6971.

Contact Information

Primary practice address
5 N Main St Enfield CT 06082-3372
Phone: (860) 347-6971
Fax: (860) 343-7379
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209011753 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209011753 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11880 Connecticut

Profile Details

NPI number 1225438278
LBN Legal business name Koshy, Jenny
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2014
Last updated Jun 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225438278 NPPES
Illinois Other F400169410 MEDICARE PTAN (INDIVIDUAL)
Illinois Other 920540 MEDICARE PTAN (INDIVIDUAL)
Illinois MEDICAID 346761379001 MEDICARE PTAN (INDIVIDUAL)

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