Mandeville, Jennifer Ann

Mandeville, Jennifer Ann is an sole proprietor health care provider with primary practice located at 14 Deer Ridge Rd , Killingworth CT 06419-2326. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Mandeville, Jennifer Ann can be contacted via phone (860) 917-0499.

Contact Information

Primary practice address
14 Deer Ridge Rd Killingworth CT 06419-2326
Phone: (860) 917-0499
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1720332323
LBN Legal business name Mandeville, Jennifer Ann
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2012
Last updated Nov 4th, 2012 - about 13 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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