Sporn, Jonathan
Sporn, Jonathan is an individual health care provider with primary practice located at 94 Woodland St , Hartford CT 06105-1217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Sporn, Jonathan can be contacted via phone (860) 714-4680.Contact Information
Primary practice address
94 Woodland St
Hartford CT 06105-1217
Phone: (860) 714-4680
Fax: (860) 714-8047
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 028198 | Connecticut |
Profile Details
| NPI number | 1700889771 |
|---|---|
| LBN Legal business name | Sporn, Jonathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Jan 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 | 1700889771 | NPPES |
| Connecticut | MEDICAID | 001281989 |
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