IndividualActive
Carl Ousley, SUBIDC
NPI 1700670684 · Independent Duty Corpsman · Uncasville, CT
Provider details
- NPI number
- 1700670684
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- SUBIDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
18 Marcia Dr
Uncasville, CT 06382-2323
Phone: (606) 259-5838
Approximate (ZIP-level) locationGet directions
Mailing address
18 Marcia Dr
Uncasville, CT 06382-2323
Registry dates
- Enumerated
- 2025-04-07
- Last updated
- 2025-04-08
- Certified
- 2025-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.