Young, Jennifer L
Young, Jennifer L is an individual health care provider with primary practice located at 784 E Main St , Branford CT 06405-2918. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Young, Jennifer L can be contacted via phone (203) 481-7008.Contact Information
Primary practice address
784 E Main St
Branford CT 06405-2918
Phone: (203) 481-7008
Fax: (203) 315-2712
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 037361 | Connecticut |
Profile Details
| NPI number | 1730117938 |
|---|---|
| LBN Legal business name | Young, Jennifer L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Sep 25th, 2008 - about 18 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 | 1730117938 | NPPES |
| Connecticut | MEDICAID | 00137361200 |
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