Kegel, Jeffrey Glen

Kegel, Jeffrey Glen is an individual health care provider with primary practice located at 5 Founders St , Willimantic CT 06226. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kegel, Jeffrey Glen can be contacted via phone (860) 456-2898.

Contact Information

Primary practice address
5 Founders St Willimantic CT 06226
Phone: (860) 456-2898
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35405 Connecticut

Profile Details

NPI number 1619919313
LBN Legal business name Kegel, Jeffrey Glen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Aug 2nd, 2018 - about 8 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 1619919313 NPPES
Pennsylvania Other 698880 HIGHMARK BLUE SHIELD
Pennsylvania Other 3513564000 HIGHMARK BLUE SHIELD
Pennsylvania Other 30062352 HIGHMARK BLUE SHIELD
Pennsylvania MEDICAID 0014547140005 HIGHMARK BLUE SHIELD
Pennsylvania Other 41478MD045251E HIGHMARK BLUE SHIELD
Pennsylvania Other 5989452 HIGHMARK BLUE SHIELD
Pennsylvania Other 6887720 HIGHMARK BLUE SHIELD

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