Prestwood, Karen M.
Prestwood, Karen M. is an individual health care provider with primary practice located at 22 Masonic Ave 1St Floor, Wallingford CT 06492-3095. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Prestwood, Karen M. can be contacted via phone (203) 679-5900.Contact Information
Primary practice address
22 Masonic Ave 1St Floor
Wallingford CT 06492-3095
Phone: (203) 679-5900
Fax: (203) 679-6873
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 029068 | Connecticut |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 029068 | Connecticut |
Profile Details
| NPI number | 1396800793 |
|---|---|
| LBN Legal business name | Prestwood, Karen M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 26th, 2006 |
| Last updated | Feb 2nd, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396800793 | NPPES |
| Connecticut | Other | D400000928 | MEDICARE PTAN |
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