Avon Medical Wellness Center Llc
LBN: Avon Medical Wellness Center Llc
Avon Medical Wellness Center Llc is an health care organization with primary practice located at 540 Hopmeadow St , Simsbury CT 06070-2496. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Physician Assistants & Advanced Practice Nursing Providers / Medical. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty.
Avon Medical Wellness Center Llc can be contacted via phone (860) 272-4646, or through Sagiv, Ofer via phone (860) 272-4646.
Contact Information
Primary practice address
540 Hopmeadow St
Simsbury CT 06070-2496
Phone: (860) 272-4646
Fax: (860) 272-4642
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 047333 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 001816 | Connecticut |
Profile Details
| NPI number | 1134509615 |
|---|---|
| LBN Legal business name | Avon Medical Wellness Center Llc |
| DBA Doing business as | |
| Authorized official | Sagiv, Ofer Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 1st, 2015 |
| Last updated | Dec 14th, 2016 - about 8 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 | 1134509615 | NPPES |
| Connecticut | MEDICAID | PENDING | |
| Connecticut | Other | 047333 |
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