Bettie Joseph

Individual provider Active NPI Case Manager/Care Coordinator · Stamford, CT

NPI 1619422334 · NPPES record last updated Aug 23, 2016

Key facts

NPI
1619422334
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
103 W Broad St
Stamford, CT 06902-3713
Phone
(203) 324-6127
Fax
(203) 348-9378
NPI assigned
Aug 23, 2016
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
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

103 W Broad St
Stamford, CT 06902-3713

Mailing address

103 W Broad St
Stamford, CT 06902-3713
Phone (203) 324-6127

Other providers in Stamford, CT

All providers in Stamford, CT · Case Manager/Care Coordinator in Connecticut

Sources for this page

Verify at the official NPI Registry.