Stanford, Jennie Thomas
Stanford, Jennie Thomas is an sole proprietor health care provider with primary practice located at 69 Grove St , New Canaan CT 06840-5325. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Medical Specialty, Ambulatory Health Care Facilities / Clinic/Center. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Stanford, Jennie Thomas can be contacted via phone (844) 359-8363.Contact Information
Primary practice address
69 Grove St
New Canaan CT 06840-5325
Phone: (844) 359-8363
Fax: (833) 929-3520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 26586 | Mississippi |
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | 1992372403 | Connecticut |
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | 1992372403 | New Jersey |
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 1043889967 | New York |
Profile Details
| NPI number | 1588028153 |
|---|---|
| LBN Legal business name | Stanford, Jennie Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2016 |
| Last updated | Jul 24th, 2026 - about 3 months 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 | 1588028153 | NPPES |
| Mississippi | MEDICAID | 07129501 |
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