Active NPIIndividual provider

Mr. Martinez Mckeithan, HS1

Technician, Other in New Haven, Connecticut

NPI Number1275564700
Practice location
120 Woodward Ave, Commander Uscg Sector Long Island Sound, New Haven, CT 06512-3628
Fax
203-468-4483
Last updated
July 8, 2007

Martinez Mckeithan is a Technician, Other based in New Haven, CT. Martinez Mckeithan practices in New Haven, CT and has the professional credentials of HS1. The NPI Number for Martinez Mckeithan is 1275564700. The current practice location address for Martinez Mckeithan is 120 Woodward Ave, Commander Uscg Sector Long Island Sound, New Haven, CT 06512-3628 and can be reached out via phone at 203-468-4593 and via fax at 203-468-4483.

Provider Profile Details

NPI Number
1275564700
Provider Name
Martinez Mckeithan
Credential
HS1
Provider Entity Type
Individual
Gender
Male
Address
120 Woodward Ave, Commander Uscg Sector Long Island Sound, New Haven, CT 06512-3628
Phone Number
203-468-4593
Fax Number
203-468-4483
Primary Taxonomy
Technician, Other · 247200000X
Sole Proprietor
No
Provider Enumeration Date
July 5, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
120 Woodward Ave
Commander Uscg Sector Long Island Sound
New Haven, CT 06512-3628
Zip
06512-3628
Phone Number
203-468-4593
Fax Number
203-468-4483
New Haven, CT 06512Get directions →

Provider Business Mailing Address Details

Address
120 Woodward Ave
Commander Uscg Sector Long Island Sound
New Haven, CT 06512
City
New Haven
State
CT
Zip
06512
Phone Number
203-468-4593
Fax Number
203-468-4483

License Information

Taxonomy
Technician, Other · 247200000X · 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 Mr. Martinez Mckeithan, HS1?

The NPI number of Mr. Martinez Mckeithan, HS1 is 1275564700. It was assigned on July 5, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Martinez Mckeithan, HS1?

Mr. Martinez Mckeithan, HS1 is registered under the primary taxonomy Technician, Other (code 247200000X).

Where does Mr. Martinez Mckeithan, HS1 practice?

The practice location is 120 Woodward Ave, Commander Uscg Sector Long Island Sound, New Haven, CT 06512-3628. The office can be reached at 203-468-4593 (phone) or 203-468-4483 (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 1275564700 directly on the NPPES registry website.

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