Provider Demographics
NPI:1467942938
Name:CIGNA HEALTH AND LIFE INSURANCE COMPANY
Entity Type:Organization
Organization Name:CIGNA HEALTH AND LIFE INSURANCE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS DEVELOPMENT SENIOR ADVISOR
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:REGI NURSW
Authorized Official - Phone:407-920-8441
Mailing Address - Street 1:900 COTTAGE GROVE RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-2920
Mailing Address - Country:US
Mailing Address - Phone:623-277-3272
Mailing Address - Fax:
Practice Address - Street 1:25500 N NORTERRA DR BLDG B
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85085-8200
Practice Address - Country:US
Practice Address - Phone:623-277-3272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CIGNA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-05-10
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZY0064443336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy