Provider Demographics
NPI:1295978070
Name:APRIL E. MOTT MD LLC
Entity type:Organization
Organization Name:APRIL E. MOTT MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:E
Authorized Official - Last Name:MOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-482-3003
Mailing Address - Street 1:538 LITCHFIELD ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-6669
Mailing Address - Country:US
Mailing Address - Phone:860-482-3003
Mailing Address - Fax:860-482-2798
Practice Address - Street 1:538 LITCHFIELD ST
Practice Address - Street 2:SUITE 204
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-6669
Practice Address - Country:US
Practice Address - Phone:860-482-3003
Practice Address - Fax:860-482-2798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-09
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT022565207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT00122565500Medicaid
CT11008039OtherMEDICARE