Deborah Ernestine Brick, MSOTR/L
Individual provider Active NPI Specialist · Windsor, CT
NPI 1083881999 · NPPES record last updated May 9, 2008
Key facts
- NPI
- 1083881999
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 001872 (CT)
- Practice address
- 581 Poquonock Ave
Windsor, CT 06095-2202 - Phone
- (860) 688-7211
- NPI assigned
- May 9, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001872 | CT | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 001872 | CT | Yes |
Addresses
Primary practice location
581 Poquonock Ave
Windsor, CT 06095-2202
Mailing address
581 Poquonock Ave
Windsor, CT 06095-2202
Phone (860) 688-7211
Other providers in Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.