Active NPIIndividual provider

Michael A Jeanfavre

Physical Therapist in Bantam, Connecticut

NPI Number1730532177
Practice location
607 Bantam RD, Unit H, Bantam, CT 06750-1634
Fax
860-567-7779
Last updated
July 21, 2016

Michael A. Jeanfavre is a Physical Therapist based in Bantam, CT. Michael A. Jeanfavre practices in Bantam, CT. The NPI Number for Michael A. Jeanfavre is 1730532177 and holds a License No. 10999 (CT). The current practice location address for Michael A. Jeanfavre is 607 Bantam RD, Unit H, Bantam, CT 06750-1634 and can be reached out via phone at 860-567-7787 and via fax at 860-567-7779.

Provider Profile Details

NPI Number
1730532177
Provider Name
Michael A. Jeanfavre
Provider Entity Type
Individual
Gender
Male
Address
607 Bantam RD, Unit H, Bantam, CT 06750-1634
Phone Number
860-567-7787
Fax Number
860-567-7779
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
July 21, 2016
Last Update Date
July 21, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
607 Bantam RD
Unit H
Bantam, CT 06750-1634
City
Bantam
Zip
06750-1634
Phone Number
860-567-7787
Fax Number
860-567-7779
Bantam, CT 06750Get directions →

Provider Business Mailing Address Details

Address
73 Newton RD
Ste 101
Plaistow, NH 03865-2424
City
Plaistow
State
NH
Zip
03865-2424
Phone Number
978-388-7272
Fax Number
978-388-7373

License Information

License Number
10999
License State
CT
Taxonomy
Physical Therapist · 225100000X · 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 Michael A Jeanfavre?

The NPI number of Michael A Jeanfavre is 1730532177. It was assigned on July 21, 2016 and is currently active in the NPPES registry.

What is the specialty of Michael A Jeanfavre?

Michael A Jeanfavre is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 10999.

Where does Michael A Jeanfavre practice?

The practice location is 607 Bantam RD, Unit H, Bantam, CT 06750-1634. The office can be reached at 860-567-7787 (phone) or 860-567-7779 (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 1730532177 directly on the NPPES registry website.

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