Thompson, Jennifer Su
Thompson, Jennifer Su is an individual health care provider with primary practice located at 2200 Whitney Ave Suite 360, Hamden CT 06518-3691. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Thompson, Jennifer Su can be contacted via phone (203) 281-4463.Contact Information
Primary practice address
2200 Whitney Ave Suite 360
Hamden CT 06518-3691
Phone: (203) 281-4463
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | L-224528 | Massachusetts |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 049594 | Connecticut |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 247343-1 | New York |
Profile Details
| NPI number | 1013043850 |
|---|---|
| LBN Legal business name | Thompson, Jennifer Su |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Jan 17th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013043850 | NPPES |
| Connecticut | MEDICAID | 1013043850 |
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