Back To Health Of Branford, Llc
LBN: Back To Health Of Branford, Llc
Back To Health Of Branford, Llc is an health care organization with primary practice located at 400 West Main Street , Branford CT 06405. The organization recently has 6 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Internist, Allopathic & Osteopathic Physicians / Internal Medicine, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Back To Health Of Branford, Llc can be contacted via phone (203) 483-7778, or through Bailey, Sharon L via phone (203) 483-7778.
Contact Information
Primary practice address
400 West Main Street
Branford CT 06405
Phone: (203) 483-7778
Fax: (203) 481-0234
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 148 | Connecticut |
| Chiropractic Providers / Chiropractor | 111N00000X | 001614 | Connecticut |
| Chiropractic Providers / Internist | 111NI0900X | 000561 | Connecticut |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 037255 | Connecticut |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 037255 | Connecticut |
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | 037255 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 002765 | Connecticut |
Profile Details
| NPI number | 1215958772 |
|---|---|
| LBN Legal business name | Back To Health Of Branford, Llc |
| DBA Doing business as | |
| Authorized official | Bailey, Sharon L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Dec 22nd, 2014 - 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 | 1215958772 | NPPES |
| Connecticut | Other | 07D1072612 | CLIA WAIVER |
| Connecticut | Other | C02868 | CLIA WAIVER |
| Connecticut | MEDICAID | 008038901 | CLIA WAIVER |
| Connecticut | MEDICAID | 008038939 | CLIA WAIVER |
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