Provider Demographics
NPI:1851088041
Name:PEAK WELLNESS, INC.
Entity Type:Organization
Organization Name:PEAK WELLNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLON
Authorized Official - Middle Name:MORSE
Authorized Official - Last Name:COLKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-550-2960
Mailing Address - Street 1:195 FIELD POINT RD
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-2801
Mailing Address - Country:US
Mailing Address - Phone:203-625-9608
Mailing Address - Fax:203-629-0589
Practice Address - Street 1:195 FIELD POINT RD
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-2801
Practice Address - Country:US
Practice Address - Phone:203-625-9608
Practice Address - Fax:203-629-0589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-19
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center