Inhouse Medical Llc | |
276 Highland Ave Ste A2 Waterbury CT 06708-3022 | |
(203) 518-5232 | |
(888) 372-6480 |
Full Name | Inhouse Medical Llc |
---|---|
Speciality | Nurse Practitioner |
Location | 276 Highland Ave Ste A2, Waterbury, Connecticut |
Authorized Official Name and Position | Steven Paul Jeske (OWNER) |
Authorized Official Contact | 2035185232 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Inhouse Medical Llc 276 Highland Ave Ste A2 Waterbury CT 06708-3022 Ph: (203) 518-5232 | Inhouse Medical Llc 276 Highland Ave Ste A2 Waterbury CT 06708-3022 Ph: (203) 518-5232 |
NPI Number | 1528561800 |
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Provider Enumeration Date | 03/13/2018 |
Last Update Date | 01/14/2024 |
Medicare PECOS PAC ID | 8123381290 |
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Medicare Enrollment ID | O20180424002543 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528561800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Connecticut) | Secondary |
261QP2300X | Clinic/center - Primary Care | (Connecticut) | Secondary |
363L00000X | Nurse Practitioner | (Connecticut) | Primary |
Provider Name | Steven Paul Jeske |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033414867 PECOS PAC ID: 1658556071 Enrollment ID: I20110429000215 |
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