Li, Charlene C

Li, Charlene C is an individual health care provider with primary practice located at 851 Marshall Phelps Road Windsor Family Medicine, Windsor CT 06095. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Li, Charlene C can be contacted via phone (860) 683-0756.

Contact Information

Primary practice address
851 Marshall Phelps Road Windsor Family Medicine Windsor CT 06095
Phone: (860) 683-0756
Fax: (860) 683-1555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 021556 Connecticut

Profile Details

NPI number 1447285838
LBN Legal business name Li, Charlene C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Apr 18th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447285838 NPPES
Connecticut MEDICAID 001215565
Connecticut Other 080166654

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