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Contact Information

INHEALTH MED CT, PC
14 QUARRY ST
WILLIMANTIC, CT06226
 Phone: 860-423-8020
 Fax: 860-456-8288
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for INHEALTH MED CT PC · (Female)

NPI # 1134250541
Status Active
Credentials
Entity Individual
Enumeration date 03/08/2007
Last updated 09/06/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 001754
  • CT License # 019026
  • CT Medicaid 004201141
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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