NPI 1013443860
The Modern Doctor LLC
Practice location
- Address
- 460 Huntington St, Shelton, CT 06484-4620
- Phone
- (203) 521-2620
Authorised official
- Name
- Shannon Homkovics
- Title
- Doctor
- Phone
- (203) 521-2620
Registered specialties
Naturopath
Primary
Registry record
- NPI
- 1013443860
- Entity type
- Organization
- NPI issued
- 11 May 2017
- Record last updated
- 11 May 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.