Takiff, Jerome William
Takiff, Jerome William is an individual health care provider with primary practice located at 895 East Main Street , Torrington CT 06790. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Takiff, Jerome William can be contacted via phone (860) 489-1291.Contact Information
Primary practice address
895 East Main Street
Torrington CT 06790
Phone: (860) 489-1291
Fax: (860) 489-1804
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 21436 | Connecticut |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 21436 | Connecticut |
Profile Details
NPI number | 1699796441 |
---|---|
LBN Legal business name | Takiff, Jerome William |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 21st, 2006 |
Last updated | Jun 11th, 2012 - 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 | 1699796441 | NPPES |
Connecticut | MEDICAID | 004394904 | |
Connecticut | Other | C01177 |
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