NPI 1386023828 MEDICAL WELLNESS LLC WOLCOTT CT. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Medical Wellness Llc - NPI: 1386023828

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: MEDICAL WELLNESS LLC
NPI Number: 1386023828
Entity Type Code: Organizational (2)
Authorized Official Name: STEVEN PAUL JESKE
(OWNER)
Mailing Address: 503 Wolcott Rd #3
Wolcott
State: CT US
Postal Code: 067162673
Phone Number: 2039481300
Fax Number: 8883726480
NPI Enumeration Date: 05/28/2015
NPI Last Update Date: 05/28/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 261QP2300X
License Number: 12.004592
Healthcare Provider Taxonomy:
(Secondary)
Y
State: CT
Taxonomy Type: Ambulatory Health Care Facilities
Taxonomy Classification: Clinic/Center
Taxonomy Specialization: Primary Care
Taxonomy Definition:


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