Jain, Deepali
Jain, Deepali is an individual health care provider with primary practice located at 350 Seymour Ave Ste 2 , Derby CT 06418-1336. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Jain, Deepali can be contacted via phone (203) 732-3443.Contact Information
Primary practice address
350 Seymour Ave Ste 2
Derby CT 06418-1336
Phone: (203) 732-3443
Fax: (855) 287-1988
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 78280 | Connecticut |
Profile Details
| NPI number | 1013203082 |
|---|---|
| LBN Legal business name | Jain, Deepali |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2011 |
| Last updated | Jun 7th, 2024 - about 2 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 | 1013203082 | NPPES |
| Washington | MEDICAID | 2087508 |
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