Nally, Jennie B
Nally, Jennie B is an individual health care provider with primary practice located at 761 Main Ave Suite 102, Norwalk CT 06851-1080. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Nally, Jennie B can be contacted via phone (203) 810-4151.Contact Information
Primary practice address
761 Main Ave Suite 102
Norwalk CT 06851-1080
Phone: (203) 810-4151
Fax: (203) 810-4150
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 045804 | Connecticut |
Profile Details
| NPI number | 1548454622 |
|---|---|
| LBN Legal business name | Nally, Jennie B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2007 |
| Last updated | May 21st, 2009 - about 16 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 | 1548454622 | NPPES |
| Connecticut | Other | 045804 | CT LICENSE |
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