Annette L Headley Md Llc

LBN: Annette L Headley Md Llc
Annette L Headley Md Llc is an health care organization with primary practice located at 56 Whitehall Ave , Mystic CT 06355-1978. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Annette L Headley Md Llc can be contacted via phone (860) 536-1354, or through Headley, Annette L via phone (860) 536-1354.

Contact Information

Primary practice address
56 Whitehall Ave Mystic CT 06355-1978
Phone: (860) 536-1354
Fax: (860) 536-7043
Website:
Map and Directions
Authorized official contact:
Name: Headley, Annette L Doctor of Medicine (MD)
Phone: (860) 536-1354

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 034245 Connecticut

Profile Details

NPI number 1568772242
LBN Legal business name Annette L Headley Md Llc
DBA Doing business as
Authorized official Headley, Annette L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 15th, 2010
Last updated Nov 9th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568772242 NPPES
Connecticut Other 1295841682 PERSONAL NPI NUMBER

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