MEDICAL WELLNESS LLC NPI 1386023828

NPI Information

NPI: 1386023828
Provider Name: MEDICAL WELLNESS LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
503 WOLCOTT RD
#3
WOLCOTT, CT
ZIP 06716
Phone: (203) 948-1300
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MEDICAL WELLNESS LLC is a primary care clinic center in Wolcott, CT. MEDICAL WELLNESS LLC NPI is 1386023828. The provider is registered as an organization entity type.

The provider's business location address is:

503 WOLCOTT RD
#3
WOLCOTT, CT
ZIP 06716-673
Phone: (203) 948-1300
Fax: (888) 372-6480

The provider's authorized official is Steven Paul Jeske .
The authorized official title is Owner and has the following contact phone number (203) 948-1300.

The enumeration date for this NPI number is 5/28/2015 and was last updated on 5/28/2015.

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	261QP2300X	Clinic/Center	Primary Care	12.004592	CONNECTICUT	Yes

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: 5/5/2024

NPI Synchronization or Removal

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