Eastern Connecticut Neurology Specialist Llc

LBN: Eastern Connecticut Neurology Specialist Llc
Eastern Connecticut Neurology Specialist Llc is an health care organization with primary practice located at 394 W Center St , Manchester CT 06040-4735. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Neurology is the primary health care specialty. Eastern Connecticut Neurology Specialist Llc can be contacted via phone (860) 647-9183, or through Woodruff, Jessica via phone (860) 647-9183.

Contact Information

Primary practice address
394 W Center St Manchester CT 06040-4735
Phone: (860) 647-9183
Fax: (860) 647-0582
Website:
Map and Directions
Authorized official contact:
Name: Woodruff, Jessica
Phone: (860) 647-9183

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 039584 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 005619 Connecticut

Profile Details

NPI number 1932141298
LBN Legal business name Eastern Connecticut Neurology Specialist Llc
DBA Doing business as
Authorized official Woodruff, Jessica
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2006
Last updated Apr 24th, 2014 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932141298 NPPES
Connecticut Other C03446 MEDICARE GROUP

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