Active NPIIndividual providerSole proprietor

Jenell Douglas, AUD

Audiologist in Danbury, Connecticut

NPI Number1326558602
Practice location
107 Newtown RD Ste 2A, Danbury, CT 06810
Fax
203-730-4165
Last updated
August 7, 2018

Jenell Douglas is an Audiologist based in Danbury, CT. Jenell Douglas practices in Danbury, CT and has the professional credentials of AUD. The NPI Number for Jenell Douglas is 1326558602 and holds a License No. 618 (CT). The current practice location address for Jenell Douglas is 107 Newtown RD Ste 2A, Danbury, CT 06810 and can be reached out via phone at 203-830-4700 and via fax at 203-730-4165.

Provider Profile Details

NPI Number
1326558602
Provider Name
Jenell Douglas
Credential
AUD
Provider Entity Type
Individual
Gender
Female
Address
107 Newtown RD Ste 2A, Danbury, CT 06810
Phone Number
203-830-4700
Fax Number
203-730-4165
Primary Taxonomy
Audiologist · 231H00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 2, 2017
Last Update Date
August 7, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
107 Newtown RD Ste 2A
Danbury, CT 06810
Zip
06810
Phone Number
203-830-4700
Fax Number
203-730-4165
Danbury, CT 06810Get directions →

Provider Business Mailing Address Details

Address
107 Newtown RD Ste 2A
Danbury, CT 06810-4151
City
Danbury
State
CT
Zip
06810-4151
Phone Number
203-830-4700
Fax Number
203-730-4165

License Information

License Number
618
License State
CT
Taxonomy
Audiologist · 231H00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Jenell Douglas, AUD?

The NPI number of Jenell Douglas, AUD is 1326558602. It was assigned on October 2, 2017 and is currently active in the NPPES registry.

What is the specialty of Jenell Douglas, AUD?

Jenell Douglas, AUD is registered under the primary taxonomy Audiologist (code 231H00000X), licensed in CT under license number 618.

Where does Jenell Douglas, AUD practice?

The practice location is 107 Newtown RD Ste 2A, Danbury, CT 06810. The office can be reached at 203-830-4700 (phone) or 203-730-4165 (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 1326558602 directly on the NPPES registry website.

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