| S Colwell, Llc | |
|
999 Oronoque Ln 2nd Floor North Stratford CT 06614-1379 | |
| (203) 257-5928 | |
| Not Available |
| Full Name | S Colwell, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 999 Oronoque Ln, Stratford, Connecticut |
| Authorized Official Name and Position | Sharon Colwell (APRN) |
| Authorized Official Contact | 2032575928 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| S Colwell, Llc 34 Spruce Hill Rd Shelton CT 06484-1965 Ph: () - | S Colwell, Llc 999 Oronoque Ln 2nd Floor North Stratford CT 06614-1379 Ph: (203) 257-5928 |
| NPI Number | 1295041739 |
|---|---|
| Provider Enumeration Date | 08/22/2010 |
| Last Update Date | 08/22/2010 |
| Medicare PECOS PAC ID | 2567644966 |
|---|---|
| Medicare Enrollment ID | O20110307000347 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295041739 | NPI | - | NPPES |
| 1285650622 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 002422 (Connecticut) | Primary |
| Provider Name | Sharon Colwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285650622 PECOS PAC ID: 2567545254 Enrollment ID: I20080219000476 |
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