Tharakan, Jennifer B
Tharakan, Jennifer B is an individual health care provider with primary practice located at 1 Cellini Pl Ste 102 , West Haven CT 06516-1666. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Tharakan, Jennifer B can be contacted via phone (203) 932-6481.Contact Information
Primary practice address
1 Cellini Pl Ste 102
West Haven CT 06516-1666
Phone: (203) 932-6481
Fax: (203) 932-4051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 77010 | Connecticut |
Profile Details
| NPI number | 1538747894 |
|---|---|
| LBN Legal business name | Tharakan, Jennifer B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2021 |
| Last updated | Jun 26th, 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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