Active NPIIndividual providerSole proprietor

Dr. Jerilyn S Allen, MD

Otolaryngology in Willimantic, Connecticut

NPI Number1588690374
Practice location
36 Watson St, Willimantic, CT 06226-2122
Fax
860-456-3532
Last updated
February 22, 2018

Jerilyn S Allen is an Otolaryngology based in Willimantic, CT. Jerilyn S Allen practices in Willimantic, CT and has the professional credentials of MD. The NPI Number for Jerilyn S Allen is 1588690374 and holds a License No. 034032 (CT). The current practice location address for Jerilyn S Allen is 36 Watson St, Willimantic, CT 06226-2122 and can be reached out via phone at 860-456-0287 and via fax at 860-456-3532.

Provider Profile Details

NPI Number
1588690374
Provider Name
Jerilyn S Allen
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
36 Watson St, Willimantic, CT 06226-2122
Phone Number
860-456-0287
Fax Number
860-456-3532
Primary Taxonomy
Otolaryngology · 207Y00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 23, 2006
Last Update Date
February 22, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
36 Watson St
Willimantic, CT 06226-2122
Zip
06226-2122
Phone Number
860-456-0287
Fax Number
860-456-3532
Willimantic, CT 06226Get directions →

Provider Business Mailing Address Details

Address
36 Watson St
Willimantic, CT 06226-2122
City
Willimantic
State
CT
Zip
06226-2122
Phone Number
860-456-0287
Fax Number
860-456-3532

License Information

License Number (1)
034032
License State (1)
CT
Taxonomy (1)
Otolaryngology, Otolaryngic Allergy · 207YX0602X
License Number (2)
034032
License State (2)
CT
License Number (3)
034032
License State (3)
CT
Taxonomy (3)
Otolaryngology · 207Y00000X · Primary
License Number (4)
034032
License State (4)
CT
Taxonomy (4)
Otolaryngology, Facial Plastic Surgery · 207YS0123X

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 Dr. Jerilyn S Allen, MD?

The NPI number of Dr. Jerilyn S Allen, MD is 1588690374. It was assigned on June 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jerilyn S Allen, MD?

Dr. Jerilyn S Allen, MD is registered under the primary taxonomy Otolaryngology (code 207Y00000X), licensed in CT under license number 034032.

Where does Dr. Jerilyn S Allen, MD practice?

The practice location is 36 Watson St, Willimantic, CT 06226-2122. The office can be reached at 860-456-0287 (phone) or 860-456-3532 (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 1588690374 directly on the NPPES registry website.

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