Cantor, Jacqueline Kay

Cantor, Jacqueline Kay is an sole proprietor health care provider with primary practice located at 805 Farmington Ave 2Nd Fl., West Hartford CT 06119. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Cantor, Jacqueline Kay can be contacted via phone (860) 508-0942.

Contact Information

Primary practice address
805 Farmington Ave 2Nd Fl. West Hartford CT 06119
Phone: (860) 508-0942
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 001910 Connecticut

Profile Details

NPI number 1073531794
LBN Legal business name Cantor, Jacqueline Kay
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Apr 4th, 2012 - about 13 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 1073531794 NPPES
Connecticut MEDICAID 004197283

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