MEVELYN MICHELLE MORSE DPM. PC NPI 1124066576

NPI Information

NPI: 1124066576
Provider Name: MEVELYN MICHELLE MORSE DPM. PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
365 HEMINGWAY AVE
EAST HAVEN, CT
ZIP 06512
Phone: (203) 466-1410
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MEVELYN MICHELLE MORSE DPM. PC is a foot and ankle surgery podiatrist in East Haven, CT. MEVELYN MICHELLE MORSE DPM. PC NPI is 1124066576. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

365 HEMINGWAY AVE
EAST HAVEN, CT
ZIP 06512-384
Phone: (203) 466-1410
Fax: (203) 466-6410

The provider's authorized official is Mevelyn Michelle Morse .
The authorized official title is Owner and has the following contact phone number (203) 466-1410.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	000802	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	CONNECTICUT	TAX ID #
2	C02855	MEDICARE PIN	CONNECTICUT
3	0719140001	MEDICARE NSC	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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