Healthcare Provider Details

I. General information

NPI: 1043426687
Provider Name (Legal Business Name): MEJIAS HEALTH & WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 07/28/2022
Certification Date: 07/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 OLD PARK LANE RD SUITE 3
NEW MILFORD CT
06776-2923
US

IV. Provider business mailing address

1 OLD PARK LANE RD SUITE 3
NEW MILFORD CT
06776-2923
US

V. Phone/Fax

Practice location:
  • Phone: 860-355-8494
  • Fax: 860-354-9468
Mailing address:
  • Phone: 860-355-8494
  • Fax: 860-354-9468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number001495
License Number StateCT

VIII. Authorized Official

Name: DR. NESTOR MEJIAS
Title or Position: OWNER/OPERATOR
Credential: DC
Phone: 860-355-8494