Jerilyn S Allen in Willimantic - Facial Plastic Surgery
Jerilyn S Allen - NPI 1588690374
Jerilyn S Allen is a Facial Plastic Surgery in Willimantic, Connecticut. Jerilyn S Allen practices all healthcare services and medical treatments related to Facial Plastic Surgery. The NPI Number for Jerilyn S Allen is 1588690374. The last update date is 2018-02-22.
Jerilyn S Allen's current location address is 36 Watson St, Willimantic, Connecticut. You can contact this provider via phone number 8604560287 and fax number 8604563532. The mailing address for Jerilyn S Allen is 36 Watson St, Willimantic, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerilyn S Allen |
|---|---|
| Address | 36 Watson St, Willimantic, Connecticut |
| Phone Number | 8604560287 |
| Fax Number | 8604563532 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1588690374 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2018-02-22 |
Provider Mailing Address Detail
| Address | 36 Watson St |
|---|---|
| City | Willimantic |
| State | Connecticut (CT) |
| Post Code | 62262122 |
| Phone Number | 8604560287 |
| Fax Number | 8604563532 |
Provider's Primary Taxonomy Detail
| Speciality | Facial Plastic Surgery |
|---|---|
| Taxonomy | 207Ys0123X |
| Licence No | 34032 |
|
Definition: An otolaryngologist who specializes in facial plastic surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1340322 | CT | -- |
Post Comment/ Review Below
What is the Jerilyn S Allen's unique identification number?
The Jerilyn S Allen has been assigned the NPI (National Provider Identifier) Number 1588690374 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Jerilyn S Allen is physically located?
The Jerilyn S Allen is physically situated at the following address: 36 Watson St, Willimantic, CT, 62262122.
What is Jerilyn S Allen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jerilyn S Allen is Facial Plastic Surgery, and the taxonomy classification code that categorizes this area of expertise is 207Ys0123X.
On what date did the Jerilyn S Allen receive the assignment of its 1588690374 from the Centers for Medicare & Medicaid Services?
The Jerilyn S Allen was issued its 1588690374 by the Centers for Medicare & Medicaid Services on 2006-06-23.
As of what date was the information regarding Jerilyn S Allen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jerilyn S Allen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-02-22.