Mhiku M Charles, CASE MANAGER
Individual provider Active NPI Case Manager/Care Coordinator · Waterbury, CT
NPI 1750688693 · NPPES record last updated Feb 11, 2011
Key facts
- NPI
- 1750688693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- CT (CT)
- Practice address
- 402 E Main St
Waterbury, CT 06702-1701 - Phone
- (203) 574-3201
- Fax
- (203) 574-3274
- NPI assigned
- Feb 11, 2011
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CT | CT | MD | Case Manager/Care Coordinator |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CT | CT | Yes |
Addresses
Primary practice location
402 E Main St
Waterbury, CT 06702-1701
Mailing address
402 E Main St
Waterbury, CT 06702-1701
Phone (203) 574-3201
Other providers in Waterbury, CT
- Victor Chang
- Brianna Chaparro
- Christavia Chapman
- Christopher Chapman
- Daron Chappel
- Charmed Home Care LLC
- Chase Parkway Dental LLC
- Alex Chasy
- Radhika Chaudhary
- Sushant Chaudhary
All providers in Waterbury, CT · Case Manager/Care Coordinator in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2011. 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.