Beatman, Jay Rogers
Beatman, Jay Rogers is an sole proprietor health care provider with primary practice located at 46 W Avon Rd Ste 302, Avon CT 06001-3679. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Beatman, Jay Rogers can be contacted via phone (860) 810-0425.Contact Information
Primary practice address
46 W Avon Rd Ste 302
Avon CT 06001-3679
Phone: (860) 810-0425
Fax: (860) 404-0870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 002304 | Connecticut |
Profile Details
| NPI number | 1427121433 |
|---|---|
| LBN Legal business name | Beatman, Jay Rogers |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Dec 12th, 2017 - about 8 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 | 1427121433 | NPPES |
| Connecticut | MEDICAID | 004208048 |
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