Eldon John Colonies
Individual provider Active NPI Rehabilitation Counselor · Orange, CT
NPI 1609598952 · NPPES record last updated Sep 14, 2022
Key facts
- NPI
- 1609598952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Counselor 225C00000X
- Practice address
- 200 Edison Rd
Orange, CT 06477-3602 - Phone
- (203) 530-1055
- NPI assigned
- Sep 14, 2022
- Sex
- Male
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | CT | Yes |
Addresses
Primary practice location
200 Edison Rd
Orange, CT 06477-3602
Mailing address
200 Edison Rd
Orange, CT 06477-3602
Phone (203) 530-1055
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All providers in Orange, CT · Rehabilitation Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2022. 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.