Pichtida Sarah Chhean

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Windsor Locks, CT

NPI 1366084345 · NPPES record last updated Oct 11, 2019

Key facts

NPI
1366084345
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
55 S Center St
Windsor Locks, CT 06096-2456
Phone
(860) 967-6585
NPI assigned
Oct 11, 2019
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

55 S Center St
Windsor Locks, CT 06096-2456

Mailing address

55 S Center St
Windsor Locks, CT 06096-2456
Phone (860) 967-6585

Other practice location 1

55 S Center St
Windsor Locks, CT 06096-2456
Phone (860) 967-6585

Other providers in Windsor Locks, CT

All providers in Windsor Locks, CT · Student in an Organized Health Care Education/Training Program in Connecticut

Sources for this page

Verify at the official NPI Registry.