Doctor Name: | DAVID NILL |
NPI Number: | 1083957237 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 320 Post Road Fairfield, CT - 06824 |
Business Phone Number: | 2032543780 |
Business Fax Number: | |
Mailing Address: | 76 Elm St, ANSONIA |
State: | CT |
Postal Code: | 064013310 |
Phone Number: | 9782730154 |
Fax Number: | |
NPI Enumeration Date: | 04/05/2013 |
NPI Last Update Date: | 07/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |