Healing Edge Medical Associates Llc
LBN: Healing Edge Medical Associates Llc
Healing Edge Medical Associates Llc is an health care organization with primary practice located at 29 Kripes Rd Suite M, East Granby CT 06026-9669. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine. Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine is the primary health care specialty.
Healing Edge Medical Associates Llc can be contacted via phone (860) 413-3883, or through Agnes, Ronald Dale via phone (860) 978-8825.
Contact Information
Primary practice address
29 Kripes Rd Suite M
East Granby CT 06026-9669
Phone: (860) 413-3883
Fax: (860) 413-3884
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036511 | Connecticut |
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine | 2083P0500X | 036511 | Connecticut |
Profile Details
NPI number | 1134450828 |
---|---|
LBN Legal business name | Healing Edge Medical Associates Llc |
DBA Doing business as | |
Authorized official | Agnes, Ronald Dale Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 20th, 2010 |
Last updated | Jun 19th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134450828 | NPPES |
Illinois | MEDICAID | 3097037 | |
Illinois | Other | J13195 |
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