Lee, Jessica M
Lee, Jessica M is an individual health care provider with primary practice located at 85 Seymour St Suite 415, Hartford CT 06106. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Lee, Jessica M can be contacted via phone (860) 246-2071.Contact Information
Primary practice address
85 Seymour St Suite 415
Hartford CT 06106
Phone: (860) 246-2071
Fax: (860) 524-2650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 052108 | Connecticut |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 052108 | Connecticut |
Profile Details
| NPI number | 1104026392 |
|---|---|
| LBN Legal business name | Lee, Jessica M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2007 |
| Last updated | Jul 15th, 2013 - about 12 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 | 1104026392 | NPPES |
| Connecticut | Other | 16011719-1A | UCONN ID |
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