Jenny M Braddock is a Specialist in Harwinton, Connecticut. Jenny M Braddock practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jenny M Braddock is 1558430785. The last update date is 2007-07-09.
Jenny M Braddock's current location address is 247 Hill Rd, Harwinton, Connecticut. You can contact this provider via phone number 8604850755. The mailing address for Jenny M Braddock is 247 Hill Rd, Harwinton, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jenny M Braddock |
|---|---|
| Address | 247 Hill Rd, Harwinton, Connecticut |
| Phone Number | 8604850755 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT, OCS |
NPI Number Detail
| NPI Number | 1558430785 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 247 Hill Rd |
|---|---|
| City | Harwinton |
| State | Connecticut (CT) |
| Post Code | 67912502 |
| Phone Number | 8604850755 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 7053 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 080007053CT01 | CT | BCBS PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique identification code assigned to Jenny M Braddock by the Centers for Medicare & Medicaid Services?
The Jenny M Braddock has been issued the NPI (National Provider Identifier) 1558430785. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jenny M Braddock's facilities are geographically located?
The facilities of Jenny M Braddock are physically situated at the following location: 247 Hill Rd, Harwinton, CT, 67912502.
What is Jenny M Braddock's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jenny M Braddock's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
When did the Jenny M Braddock receive its 1558430785?
The Jenny M Braddock was issued its 1558430785 on 2006-11-06, which is the date when the organization was assigned this unique identifier.
As of what date were the Jenny M Braddock's details last updated?
The information pertaining to the Jenny M Braddock, including its address, specialty, and other details, was most recently updated on 2007-07-09.