Alphonso Coles, LADC is a
Student In An Organized Health Care Education/training Program based in Waterbury, Connecticut. Alphonso Coles is licensed to practice in * (Not Available) (license number ) and his current practice location is
142 Griggs St, Waterbury, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(203) 574-1419.
NPI number for Alphonso Coles is 1912159708 and his current mailing address is 141 E Main St, Waterbury, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912159708.
Healthcare Provider's Profile
Full Name | Alphonso Coles |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 142 Griggs St, Waterbury, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912159708
- Provider Enumeration Date: 10/13/2008
- Last Update Date: 03/24/2023
Medical Identifiers
Medical identifiers for Alphonso Coles such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912159708 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 000373 (Connecticut) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alphonso Coles is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alphonso Coles, LADC 141 E Main St, Waterbury, CT 06702-2310 Ph: () - | Alphonso Coles, LADC 142 Griggs St, Waterbury, CT 06704-3110 Ph: (203) 574-1419 |
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