Mark Brown
Individual provider Active NPI Hearing Instrument Specialist · Willimantic, CT
NPI 1831570746 · NPPES record last updated Jun 16, 2015
Key facts
- NPI
- 1831570746
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hearing Instrument Specialist 237700000X
- License
- 392 (CT)
- Practice address
- 95 Storrs Rd
Willimantic, CT 06226-4012 - Phone
- (860) 423-7807
- Fax
- (860) 423-7393
- NPI assigned
- Jun 16, 2015
- 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 |
|---|---|---|---|
| 392 | CT | MD | Hearing Instrument Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 392 | CT | Yes |
Addresses
Primary practice location
95 Storrs Rd
Willimantic, CT 06226-4012
Mailing address
126 Gardner Ave
New London, CT 06320-4348
Phone (860) 938-1118
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598891855 | Medicaid | CT |
Other providers in Willimantic, CT
- Fran Ia Bowen
- Anna Bratz
- Alisa B Bray
- Richard L Brody
- Angela M Brown
- Janice Shopland Bryant
- Sarah E Bullard
- Anna M Bunch
- Robert Joseph Bundy
- Taylor Burgos
All providers in Willimantic, CT · Hearing Instrument Specialist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2015. 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.