1427265610 NPI number — MS. ALMA HARWARD POLLOCK LICENSED PROFESSIONA

Table of content: MS. ALMA HARWARD POLLOCK LICENSED PROFESSIONA (NPI 1427265610)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427265610 NPI number — MS. ALMA HARWARD POLLOCK LICENSED PROFESSIONA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
POLLOCK
Provider First Name:
ALMA
Provider Middle Name:
HARWARD
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LICENSED PROFESSIONA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HARWARD
Provider Other First Name:
ALMA
Provider Other Middle Name:
LIPPINCOTT
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1427265610
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
244 EDWARDS ST
Provider Second Line Business Mailing Address:
APT 1
Provider Business Mailing Address City Name:
NEW HAVEN
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06511
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
860-912-6799
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
91 NORTHWEST DRIVE
Provider Second Line Business Practice Location Address:
THE WHEELER CLINIC
Provider Business Practice Location Address City Name:
PLAINVILLE
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06062
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-793-3500
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/17/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  001454 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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