Connecticut Foot Specialists, P.C.
LBN: Connecticut Foot Specialists, P.C.
Connecticut Foot Specialists, P.C. is an health care organization with primary practice located at 43 Woodland St Suite 210, Hartford CT 06105-2363. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty.
Connecticut Foot Specialists, P.C. can be contacted via phone (260) 251-7200, or through Wagner, Brian K via phone (860) 653-4708.
Contact Information
Primary practice address
43 Woodland St Suite 210
Hartford CT 06105-2363
Phone: (260) 251-7200
Fax:
Website:
Authorized official contact:
Name: Wagner, Brian K Doctor of Podiatric Medicine (DPM)
Phone: (860) 653-4708
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | CT000793 | Connecticut |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | CT000793 | Connecticut |
Profile Details
| NPI number | 1902124225 |
|---|---|
| LBN Legal business name | Connecticut Foot Specialists, P.C. |
| DBA Doing business as | |
| Authorized official | Wagner, Brian K Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 11th, 2010 |
| Last updated | Jun 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902124225 | NPPES |
| Connecticut | Other | CT000793 | DR. WAGNER'S STATE LICENSE |
| Connecticut | Other | 1093743502 | DR. WAGNER'S STATE LICENSE |
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