Michael F Bower, EDD
Individual provider Active NPI Counselor · Guilford, CT
NPI 1710280862 · NPPES record last updated Dec 14, 2010
Key facts
- NPI
- 1710280862
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 135 (CT)
- Practice address
- 303 Church St
Guilford, CT 06437-2468 - Phone
- (203) 494-1355
- NPI assigned
- Dec 13, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 135 | CT | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 135 | CT | Yes |
Addresses
Primary practice location
303 Church St
Guilford, CT 06437-2468
Mailing address
303 Church St
Guilford, CT 06437-2468
Phone (293) 494-1355
Other providers in Guilford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2010. 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.