Advanced Footcare Specialists Of Connecticut L.L.C.
LBN: Achilles Foot Health Center, L.L.C.
Advanced Footcare Specialists Of Connecticut L.L.C. is an health care organization with primary practice located at 20 Washington Ave Suite 212, North Haven CT 06473-2343. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot Surgery, Suppliers / Durable Medical Equipment & Medical Supplies. Podiatric Medicine & Surgery Service Providers / Foot Surgery is the primary health care specialty.
Achilles Foot Health Center, L.L.C. can be contacted via phone (203) 239-1119, or through Durocher, Richard W. via phone (203) 239-1119.
Contact Information
Primary practice address
20 Washington Ave Suite 212
North Haven CT 06473-2343
Phone: (203) 239-1119
Fax: (203) 234-1832
Website:
Authorized official contact:
Name: Durocher, Richard W. Doctor of Podiatric Medicine (DPM)
Phone: (203) 239-1119
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 00709 | Connecticut |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 00709 | Connecticut |
Profile Details
| NPI number | 1861670770 |
|---|---|
| LBN Legal business name | Achilles Foot Health Center, L.L.C. |
| DBA Doing business as | Advanced Footcare Specialists Of Connecticut L.L.C. |
| Authorized official | Durocher, Richard W. Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 1st, 2008 |
| Last updated | Feb 20th, 2015 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861670770 | NPPES |
| Connecticut | Other | 2704187 | UNTIED HEALTHCARE |
| Connecticut | MEDICAID | 004191277 | UNTIED HEALTHCARE |
| Connecticut | Other | 103244500 | UNTIED HEALTHCARE |
| Connecticut | Other | CPD# 1392050 | UNTIED HEALTHCARE |
| Connecticut | Other | 007090 | UNTIED HEALTHCARE |
| Connecticut | Other | 11066538 | UNTIED HEALTHCARE |
| Connecticut | MEDICAID | 008003227 | UNTIED HEALTHCARE |
| Connecticut | Other | DO3120 | UNTIED HEALTHCARE |
| Connecticut | Other | 030000709CT01 | UNTIED HEALTHCARE |
| Connecticut | Other | 2110284 | UNTIED HEALTHCARE |
| Connecticut | Other | P1271789 | UNTIED HEALTHCARE |
| Connecticut | Other | 60353065001 | UNTIED HEALTHCARE |
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