Soares, Jennifer Jean

Soares, Jennifer Jean is an individual health care provider with primary practice located at 111 Colchester Ave , Burlington VT 05401-1473. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Soares, Jennifer Jean can be contacted via phone (802) 847-0000.

Contact Information

Primary practice address
111 Colchester Ave Burlington VT 05401-1473
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 23572 New Hampshire
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 45962 Tennessee
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 042.0017519 Vermont

Profile Details

NPI number 1548485980
LBN Legal business name Soares, Jennifer Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2007
Last updated Jan 31st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548485980 NPPES
New Hampshire MEDICAID 3140722

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