Siegelman, Jenifer

Siegelman, Jenifer is an individual health care provider with primary practice located at 326 Washington St , Norwich CT 06360-2740. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Siegelman, Jenifer can be contacted via phone (860) 889-8331.

Contact Information

Primary practice address
326 Washington St Norwich CT 06360-2740
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 040352 Connecticut
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 257053 Massachusetts

Profile Details

NPI number 1699761346
LBN Legal business name Siegelman, Jenifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Aug 20th, 2013 - about 11 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 1699761346 NPPES
Connecticut MEDICAID 001403526

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