Janis A Jaquez, PA
Physician Assistant, Medical in West Hartford, Connecticut
1215002779- Practice location
- 74 Park RD, West Hartford, CT 06119-1853
- Phone
- 860-218-1725
- Fax
- 860-218-1727
- Last updated
- May 23, 2012
Janis A. Jaquez is a Physician Assistant, Medical based in West Hartford, CT. Janis A. Jaquez practices in West Hartford, CT and has the professional credentials of PA. The NPI Number for Janis A. Jaquez is 1215002779 and holds a License No. 001743 (CT). The current practice location address for Janis A. Jaquez is 74 Park RD, West Hartford, CT 06119-1853 and can be reached out via phone at 860-218-1725 and via fax at 860-218-1727.
Provider Profile Details
- NPI Number
- 1215002779
- Provider Name
- Janis A. Jaquez
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 74 Park RD, West Hartford, CT 06119-1853
- Phone Number
- 860-218-1725
- Fax Number
- 860-218-1727
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 21, 2006
- Last Update Date
- May 23, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 74 Park RD
West Hartford, CT 06119-1853 - City
- West Hartford
- State
- Connecticut
- Zip
- 06119-1853
- Phone Number
- 860-218-1725
- Fax Number
- 860-218-1727
Provider Business Mailing Address Details
- Address
- 74 Park RD
West Hartford, CT 06119-1853 - City
- West Hartford
- State
- CT
- Zip
- 06119-1853
- Phone Number
- 860-218-1725
- Fax Number
- 860-218-1727
License Information
- License Number
- 001743
- License State
- CT
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Janis A Jaquez, PA?
The NPI number of Janis A Jaquez, PA is 1215002779. It was assigned on November 21, 2006 and is currently active in the NPPES registry.
What is the specialty of Janis A Jaquez, PA?
Janis A Jaquez, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 001743.
Where does Janis A Jaquez, PA practice?
The practice location is 74 Park RD, West Hartford, CT 06119-1853. The office can be reached at 860-218-1725 (phone) or 860-218-1727 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215002779 directly on the NPPES registry website.