Angela Jane Mawson, DC
Individual provider Active NPI Chiropractor · Hebron, CT
NPI 1609965003 · NPPES record last updated Oct 23, 2014
Key facts
- NPI
- 1609965003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1327 (CT)
- Practice address
- 50 Main Street
Hebron, CT 06248 - Phone
- (860) 228-2662
- Fax
- (860) 228-2095
- NPI assigned
- Oct 12, 2006
- 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 |
|---|---|---|---|
| 001327 | CT | MD | Mental Health Counselor |
| 1327 | CT | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1327 | CT | Yes |
Addresses
Primary practice location
50 Main Street
Hebron, CT 06248
Mailing address
PO Box 87
50 Main Street
Hebron, CT 06248
Phone (860) 228-2662
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050001327CT01 | Other | BCBS |
Other providers in Hebron, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2014. 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.