Stroh, Jennifer L

Stroh, Jennifer L is an individual health care provider with primary practice located at 178 Hartford Rd , Manchester CT 06040-5986. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Stroh, Jennifer L can be contacted via phone (860) 649-9973.

Contact Information

Primary practice address
178 Hartford Rd Manchester CT 06040-5986
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 002357 Connecticut

Profile Details

NPI number 1053344879
LBN Legal business name Stroh, Jennifer L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Oct 27th, 2022 - about 4 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 1053344879 NPPES
Connecticut Other 2576641 AETNA PROVIDER ID
Connecticut MEDICAID 004186567 AETNA PROVIDER ID
Connecticut MEDICAID 004216314 AETNA PROVIDER ID
Connecticut Other 410045541 AETNA PROVIDER ID
Connecticut Other OV9840 AETNA PROVIDER ID
Connecticut Other P2515982 AETNA PROVIDER ID
Connecticut Other 090002357CT03 AETNA PROVIDER ID
Connecticut Other 678214 AETNA PROVIDER ID

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