Healthcare Provider Details

I. General information

NPI: 1548187156
Provider Name (Legal Business Name): SLICK CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 WASHINGTON ST
NORWICH CT
06360-2740
US

IV. Provider business mailing address

2955 MAIN ST STE 430
GLASTONBURY CT
06033-1092
US

V. Phone/Fax

Practice location:
  • Phone: 860-889-8331
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: SHERWOOD JONATHAS
Title or Position: MEMBER
Credential: PA-C
Phone: 860-650-3848