Fuqua, Jeanne
Fuqua, Jeanne is an sole proprietor health care provider with primary practice located at 111 Main St Ste B , Wethersfield CT 06109-3125. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Other Service Providers / Naturopath. Other Service Providers / Naturopath is her primary health care specialty. Fuqua, Jeanne can be contacted via phone (860) 470-6950.Contact Information
Primary practice address
111 Main St Ste B
Wethersfield CT 06109-3125
Phone: (860) 470-6950
Fax: (203) 772-3508
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | 649 | Connecticut |
| Other Service Providers / Naturopath | 175F00000X | 000356 | Connecticut |
Profile Details
| NPI number | 1184756363 |
|---|---|
| LBN Legal business name | Fuqua, Jeanne |
| Credentials | ND LAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2007 |
| Last updated | Feb 11th, 2025 - about last year |
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 | 1184756363 | NPPES |
| Connecticut | Other | 649 | ACUPUNCTURE LICENSE |
| Connecticut | Other | 171100000X | ACUPUNCTURE LICENSE |
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