Provider Demographics
NPI:1497767875
Name:A WOMAN, I AM
Entity Type:Organization
Organization Name:A WOMAN, I AM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:ALBRYCHT
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED PROSTHESIS
Authorized Official - Phone:203-238-1788
Mailing Address - Street 1:51 SOPHIA CT
Mailing Address - Street 2:
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06450-7026
Mailing Address - Country:US
Mailing Address - Phone:203-238-1788
Mailing Address - Fax:203-630-1331
Practice Address - Street 1:51 SOPHIA CT
Practice Address - Street 2:
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06450-7026
Practice Address - Country:US
Practice Address - Phone:203-238-1788
Practice Address - Fax:203-630-1331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT5580070001Medicare NSC