Kierstein, Jeffrey Michael

Kierstein, Jeffrey Michael is an individual health care provider with primary practice located at 196 Parkway S Suite 302, Waterford CT 06385-1234. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Kierstein, Jeffrey Michael can be contacted via phone (860) 447-1488.

Contact Information

Primary practice address
196 Parkway S Suite 302 Waterford CT 06385-1234
Phone: (860) 447-1488
Fax: (860) 447-1489
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 000725 Connecticut

Profile Details

NPI number 1841250446
LBN Legal business name Kierstein, Jeffrey Michael
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Mar 8th, 2013 - 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 1841250446 NPPES
Connecticut MEDICAID 008022294

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