Hettrick, Jennifer

Hettrick, Jennifer is an individual health care provider with primary practice located at 134 State St , Meriden CT 06450-3293. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Hettrick, Jennifer can be contacted via phone (203) 237-2229.

Contact Information

Primary practice address
134 State St Meriden CT 06450-3293
Phone: (203) 237-2229
Fax: (203) 686-1677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 084305 Connecticut

Profile Details

NPI number 1861645848
LBN Legal business name Hettrick, Jennifer
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2008
Last updated Nov 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861645848 NPPES
Connecticut MEDICAID 004236346

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