Michael D Waddington
Neuromusculoskeletal Medicine (NMM)
29 Haynes St Ste D
Manchester
, Connecticut 06040-4139
Michael D Waddington
Neuromusculoskeletal Medicine (NMM)
29 Haynes St Ste D
Manchester
, Connecticut 06040-4139
(860) 645-4150
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
Languages spoken
- English
Location
First Address
- Michael D Waddington
- 29 Haynes St Ste D
- Manchester, CT
- Zip : 06040-4139
- Fax : (860) 645-4150
- Phone : (860) 533-4678
Second Address
- Michael D Waddington
- 29 Haynes St Ste D
- Manchester, CT
- Zip : 06040-4139
- Fax : (860) 645-4150
- Phone : (860) 533-4678
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 5101016862 | MI |
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 53391 | CT |
National Provider Identifier
| NPI | 1205043486 |
|---|---|
| Provider Name | Michael D Waddington |
| First Address | Manchester, CT 06040-4139 |
| Second Address | Manchester, CT 06040-4139 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2007 |
| Last Update Date | 06/02/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 008055817 | (05) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.