Tirnauer, Jennifer Suzanne

Tirnauer, Jennifer Suzanne is an individual health care provider with primary practice located at 263 Farmington Ave , Farmington CT 06030-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Tirnauer, Jennifer Suzanne can be contacted via phone (860) 679-3728.

Contact Information

Primary practice address
263 Farmington Ave Farmington CT 06030-0001
Phone: (860) 679-3728
Fax: (860) 679-4815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 73952 Massachusetts
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 041991 Connecticut

Profile Details

NPI number 1063469799
LBN Legal business name Tirnauer, Jennifer Suzanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Feb 19th, 2010 - about 15 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 1063469799 NPPES
Connecticut MEDICAID 1063469799

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