Provider Demographics
NPI:1649370636
Name:HIX, CLAUDIA GEORGEANNE (DO, MPH, FACOEM)
Entity type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:GEORGEANNE
Last Name:HIX
Suffix:
Gender:F
Credentials:DO, MPH, FACOEM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 271
Mailing Address - Street 2:
Mailing Address - City:ONECO
Mailing Address - State:CT
Mailing Address - Zip Code:06373-0271
Mailing Address - Country:US
Mailing Address - Phone:860-508-4282
Mailing Address - Fax:
Practice Address - Street 1:138 PORTER POND RD
Practice Address - Street 2:
Practice Address - City:MOOSUP
Practice Address - State:CT
Practice Address - Zip Code:06354-2204
Practice Address - Country:US
Practice Address - Phone:860-508-4282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000213207R00000X, 2083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTE86257Medicare UPIN