Tiernan, John F

Tiernan, John F is an individual health care provider with primary practice located at 111 Founders Plz #300 C/O Ipms, East Hartford CT 06108-3212. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Tiernan, John F can be contacted via phone (860) 282-4022.

Contact Information

Primary practice address
111 Founders Plz #300 C/O Ipms East Hartford CT 06108-3212
Fax: (860) 282-0170
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 03174 Connecticut
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 034174 Connecticut

Profile Details

NPI number 1124027701
LBN Legal business name Tiernan, John F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Feb 29th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124027701 NPPES
Connecticut MEDICAID 001341742

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