Krom, Jennifer R

Krom, Jennifer R is an sole proprietor health care provider with primary practice located at 122 Grant St , Hartford CT 06106-4109. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Krom, Jennifer R can be contacted via phone (860) 919-6956.

Contact Information

Primary practice address
122 Grant St Hartford CT 06106-4109
Phone: (860) 919-6956
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 02118 Connecticut
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 02118 Connecticut

Profile Details

NPI number 1598195919
LBN Legal business name Krom, Jennifer R
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2013
Last updated Nov 21st, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1598195919 NPPES
Connecticut Other 92425 DCF PROVIDER NUMBER

Popular Providers