HomeNPI Verification

NPI Verification

National Provider Identifier: 1730756636

4 Elements Direct Primary Care LLC

Organization

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (3)

Preventive Medicine, Obesity Medicine

Code: 2083B0002X

Pediatrics

Code: 208000000X

Internal Medicine

Code: 207R00000X

Primary

Practice Address

1300 SULLIVAN AVE

SOUTH WINDSOR, CT 060742713

Phone: 860-469-5646

NPI Enumeration Date

June 8, 2021

NPI Number

1730756636

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry