Qi, Jiafan
Qi, Jiafan is an individual health care provider with primary practice located at 263 Farmington Avenue , Farmington CT 06030-3985. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is her primary health care specialty. Qi, Jiafan can be contacted via phone (860) 679-2980.Contact Information
Primary practice address
263 Farmington Avenue
Farmington CT 06030-3985
Phone: (860) 679-2980
Fax: (860) 679-4334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD12032 | Rhode Island |
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 041515 | Connecticut |
Profile Details
| NPI number | 1407961741 |
|---|---|
| LBN Legal business name | Qi, Jiafan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Jul 5th, 2023 - about last year |
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 | 1407961741 | NPPES |
| Rhode Island | MEDICAID | 7058397 |
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