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Contact Information

JACOB CHWIEDZ, DPT
179 LINWOOD AVE UNIT A-4
COLCHESTER, CT06415-1160
 Phone: 860-603-3900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JACOB CHWIEDZ · (Male)

NPI Number 1780290882
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 09/23/2020
Last updated 09/23/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 12771
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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