Beazley, Jonathan C
Beazley, Jonathan C is an sole proprietor health care provider with primary practice located at 384 Merrow Rd Ste D , Tolland CT 06084-3957. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Beazley, Jonathan C can be contacted via phone (860) 875-2578.Contact Information
Primary practice address
384 Merrow Rd Ste D
Tolland CT 06084-3957
Phone: (860) 875-2578
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 000631 | Connecticut |
Profile Details
| NPI number | 1619185469 |
|---|---|
| LBN Legal business name | Beazley, Jonathan C |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2007 |
| Last updated | Jul 8th, 2007 - 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 | 1619185469 | NPPES |
| Connecticut | Other | 410000631CT02 | ANTHEM BLUE CROSS |
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