MR. BRIAN ANDREW KARWASKI PA-C, NPI 1740531052 — MANCHESTER (CT)

NPI 1740531052

7+ Years Experience Individual

MR. BRIAN ANDREW KARWASKI PA-C

09/26/2012
PROVIDER ENUMERATION DATE
09/27/2012
LAST UPDATE DATE
1740531052
NPI NUMBER

About MR. BRIAN ANDREW KARWASKI

Sole proprietor? Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor.

MR. BRIAN ANDREW KARWASKI is a provider established in MANCHESTER, CT. The NPI number of MR. BRIAN ANDREW KARWASKI is 1740531052 and was assigned on 09/26/2012. The practitioners primary taxonomy code is: 363AM0700X with license number: 2826 CT .

Mailing address

  • City: MANCHESTER
  • State: CT
  • Postal code: 60404131
  • Phone: 5704060805
  • Address: 71 HAYNES ST

Primary Practice Address

  • Region : MANCHESTER, CT
  • NPI : 1740531052
  • Phone : 5704060805
  • Postalcode : 60404131
  • Address : 71 HAYNES ST

Provider taxonomy - Physician Assistant

  • Taxonomy code: 363AM0700X
  • License number: 2826
  • License state: CT

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Contacts:

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  • MR. BRIAN ANDREW KARWASKI PA-C
  • Address : 71 HAYNES ST
  • Region : MANCHESTER, CT
  • NPI : 1740531052
  • Phone : 5704060805
  • Postalcode : 60404131

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address71 HAYNES ST
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameMANCHESTER
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameCT
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code60404131
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number5704060805
The telephone number associated with the location address of the provider being identified.
NPI1740531052
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1363AM0700X
Provider Enumeration Date09/26/2012
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated09/27/2012
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)MR. BRIAN ANDREW KARWASKI
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address71 HAYNES ST
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameMANCHESTER
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameCT
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code60404131
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number5704060805
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Healthcare Provider Taxonomy Code #1363AM0700X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Physician Assistant
Provider License Number 12826
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1CT
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeM
  • M - male
  • F - female
Is sole proprietorY
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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