MICHELLE DAWICZYK PA-C NPI 1942550058

NPI Information

NPI: 1942550058
Provider Name: MICHELLE DAWICZYK, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
34 PROFFESSIONAL PARK RD
STORRS, CT
ZIP 06268
Phone: (860) 487-0002
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Michelle Dawiczyk, PA-C is a medical physician assistant in Storrs, CT. Michelle Dawiczyk, PA-C NPI is 1942550058. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

34 PROFFESSIONAL PARK RD
STORRS, CT
ZIP 06268-659
Phone: (860) 487-0002
Fax: (860) 429-1663

The NPI 1942550058 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/17/2012 and was last updated on 9/17/2012.

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	363AM0700X	Physician Assistant	Medical	2808	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: 4/28/2024

NPI Synchronization or Removal

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