David Carl Loiewski, D.O.

Individual provider Active NPI Internal Medicine Physician · Winsted, CT

NPI 1811089873 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1811089873
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
000258 (CT)
Practice address
115 Spencer St
Winsted, CT 06098-1140
Phone
(860) 738-6985
Fax
(860) 738-6987
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160513000114 CT Order and Referring Only - Internal Medicine
Practitioner - Internal Medicine
1759576812

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
000258CTMDAcupuncturist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 000258 CT Yes

Addresses

Primary practice location

115 Spencer St
Winsted, CT 06098-1140

Mailing address

115 Spencer St
Winsted, CT 06098-1140
Phone (860) 738-6985

Other providers in Winsted, CT

All providers in Winsted, CT · Internal Medicine Physician in Connecticut

Sources for this page

Verify at the official NPI Registry.