Collaborative Medicine Llc

LBN: Collaborative Medicine Llc
Collaborative Medicine Llc is an health care organization with primary practice located at 166 Albany Tpke Ste 7 , Canton CT 06019-2546. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. Collaborative Medicine Llc can be contacted via phone (860) 935-6680, or through Cannon, Jennifer via phone (860) 935-6680.

Contact Information

Primary practice address
166 Albany Tpke Ste 7 Canton CT 06019-2546
Phone: (860) 935-6680
Fax: (860) 407-3053
Website:
Map and Directions
Authorized official contact:
Name: Cannon, Jennifer NP-C
Phone: (860) 935-6680

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1063137511
LBN Legal business name Collaborative Medicine Llc
DBA Doing business as
Authorized official Cannon, Jennifer NP-C
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2022
Last updated Apr 18th, 2023 - about last year

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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