Active NPIIndividual provider

Joanne M Churak, PA-C

Physician Assistant, Medical in West Haven, Connecticut

NPI Number1255423232
Practice location
950 Campbell Ave, Renal Section, 111F, West Haven, CT 06516
Fax
203-937-3455
Last updated
January 13, 2015

Joanne Marie Churak is a Physician Assistant, Medical based in West Haven, CT. Joanne Marie Churak practices in West Haven, CT and has the professional credentials of PA-C. The NPI Number for Joanne Marie Churak is 1255423232 and holds a License No. 000161 (CT). The current practice location address for Joanne Marie Churak is 950 Campbell Ave, Renal Section, 111F, West Haven, CT 06516 and can be reached out via phone at 203-932-5711 and via fax at 203-937-3455.

Provider Profile Details

NPI Number
1255423232
Provider Name
Joanne Marie Churak
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
950 Campbell Ave, Renal Section, 111F, West Haven, CT 06516
Phone Number
203-932-5711
Fax Number
203-937-3455
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
September 28, 2006
Last Update Date
January 13, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
950 Campbell Ave
Renal Section, 111F
West Haven, CT 06516
Zip
06516
Phone Number
203-932-5711
Fax Number
203-937-3455
West Haven, CT 06516Get directions →

Provider Business Mailing Address Details

Address
950 Campbell Ave
Renal Section, 111F
West Haven, CT 06516
City
West Haven
State
CT
Zip
06516
Phone Number
203-932-5711
Fax Number
203-937-3455

License Information

License Number
000161
License State
CT
Taxonomy
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Joanne M Churak, PA-C?

The NPI number of Joanne M Churak, PA-C is 1255423232. It was assigned on September 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Joanne M Churak, PA-C?

Joanne M Churak, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 000161.

Where does Joanne M Churak, PA-C practice?

The practice location is 950 Campbell Ave, Renal Section, 111F, West Haven, CT 06516. The office can be reached at 203-932-5711 (phone) or 203-937-3455 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255423232 directly on the NPPES registry website.

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