Active NPIIndividual providerSole proprietor

Dr. Jennifer M Blair, MD

Emergency Medicine in Manchester, Connecticut

NPI Number1306059928
Practice location
71 Haynes St, Manchester, CT 06040-4131
Fax
—
Last updated
August 22, 2011

Jennifer M Blair is an Emergency Medicine based in Manchester, CT. Jennifer M Blair practices in Manchester, CT and has the professional credentials of MD. The NPI Number for Jennifer M Blair is 1306059928 and holds a License No. 036117811 (IL). The current practice location address for Jennifer M Blair is 71 Haynes St, Manchester, CT 06040-4131 and can be reached out via phone at 203-903-0596.

Provider Profile Details

NPI Number
1306059928
Provider Name
Jennifer M Blair
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
71 Haynes St, Manchester, CT 06040-4131
Phone Number
203-903-0596
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 8, 2007
Last Update Date
August 22, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
71 Haynes St
Manchester, CT 06040-4131
Zip
06040-4131
Phone Number
203-903-0596
Manchester, CT 06040Get directions →

Provider Business Mailing Address Details

Address
20 W Canal St
Apt 525
Winooski, VT 05404-2131
City
Winooski
State
VT
Zip
05404-2131
Phone Number
203-903-0596

License Information

License Number (1)
036117811
License State (1)
IL
Taxonomy (1)
Emergency Medicine · 207P00000X
License Number (2)
046941
License State (2)
CT
Taxonomy (2)
Emergency Medicine · 207P00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Emergency Medicine providers near Manchester, CT

View all Emergency Medicine providers in Manchester →

Frequently Asked Questions

What is the NPI number of Dr. Jennifer M Blair, MD?

The NPI number of Dr. Jennifer M Blair, MD is 1306059928. It was assigned on May 8, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Jennifer M Blair, MD?

Dr. Jennifer M Blair, MD is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in IL under license number 036117811.

Where does Dr. Jennifer M Blair, MD practice?

The practice location is 71 Haynes St, Manchester, CT 06040-4131. The office can be reached at 203-903-0596 (phone).

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 1306059928 directly on the NPPES registry website.

Browse related providers