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Contact Information

MILES E EVERETT, R.D., R.N.
80 PHOENIX AVE
WATERBURY, CT06702-1418
 Phone: 203-756-8021
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Education

133NN1002X
 

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for MILES E EVERETT · (Male)

NPI # 1316134992
Status Active
Credentials R.D., R.N.
Entity Individual
Enumeration date 09/27/2007
Last updated 11/13/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 000825
  • CT License # 082032
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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