East Granby Family Practice Llc

LBN: East Granby Family Practice Llc
East Granby Family Practice Llc is an health care organization with primary practice located at 13 Church Rd , East Granby CT 06026-0518. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. East Granby Family Practice Llc can be contacted via phone (860) 653-4526, or through Dietrich, Steven R via phone (860) 653-4526.

Contact Information

Primary practice address
13 Church Rd East Granby CT 06026-0518
Phone: (860) 653-4526
Fax: (860) 653-5209
Website:
Map and Directions
Authorized official contact:
Name: Dietrich, Steven R Doctor of Medicine (MD)
Phone: (860) 653-4526

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1154308229
LBN Legal business name East Granby Family Practice Llc
DBA Doing business as
Authorized official Dietrich, Steven R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2005
Last updated Jun 26th, 2013 - about 11 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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