Active NPIIndividual providerSole proprietor

Mr. Simon M Makuchowski, IDC

Military Health Care Provider, Independent Duty Corpsman in Gales Ferry, Connecticut

NPI Number1356633598
Practice location
4 Oakridge Dr, Gales Ferry, CT 06335-1111
Fax
—
Last updated
May 6, 2011

Simon Matthew Makuchowski is a Military Health Care Provider, Independent Duty Corpsman based in Gales Ferry, CT. Simon Matthew Makuchowski practices in Gales Ferry, CT and has the professional credentials of IDC. The NPI Number for Simon Matthew Makuchowski is 1356633598. The current practice location address for Simon Matthew Makuchowski is 4 Oakridge Dr, Gales Ferry, CT 06335-1111 and can be reached out via phone at 609-731-5613.

Provider Profile Details

NPI Number
1356633598
Provider Name
Simon Matthew Makuchowski
Credential
IDC
Provider Entity Type
Individual
Gender
Male
Address
4 Oakridge Dr, Gales Ferry, CT 06335-1111
Phone Number
609-731-5613
Sole Proprietor
Yes
Provider Enumeration Date
May 6, 2011
Last Update Date
May 6, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Oakridge Dr
Gales Ferry, CT 06335-1111
Zip
06335-1111
Phone Number
609-731-5613
Gales Ferry, CT 06335Get directions →

Provider Business Mailing Address Details

Address
4 Oakridge Dr
Gales Ferry, CT 06335-1111
City
Gales Ferry
State
CT
Zip
06335-1111
Phone Number
609-731-5613

License Information

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. Simon M Makuchowski, IDC?

The NPI number of Mr. Simon M Makuchowski, IDC is 1356633598. It was assigned on May 6, 2011 and is currently active in the NPPES registry.

What is the specialty of Mr. Simon M Makuchowski, IDC?

Mr. Simon M Makuchowski, IDC is registered under the primary taxonomy Military Health Care Provider, Independent Duty Corpsman (code 1710I1002X).

Where does Mr. Simon M Makuchowski, IDC practice?

The practice location is 4 Oakridge Dr, Gales Ferry, CT 06335-1111. The office can be reached at 609-731-5613 (phone).

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 1356633598 directly on the NPPES registry website.

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