John T. Carroll, Dpm Pc
LBN: John T. Carroll, Dpm Pc
John T. Carroll, Dpm Pc is an health care organization with primary practice located at 455 Boston Post Rd, Unit #8 , Old Saybrook CT 06475-1554. The organization recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot Surgery, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment. Podiatric Medicine & Surgery Service Providers / Foot Surgery is the primary health care specialty.
John T. Carroll, Dpm Pc can be contacted via phone (860) 510-0502, or through Carroll, John T via phone (860) 510-0502.
Contact Information
Primary practice address
455 Boston Post Rd, Unit #8
Old Saybrook CT 06475-1554
Phone: (860) 510-0502
Fax: (860) 510-0551
Website:
Authorized official contact:
Name: Carroll, John T Doctor of Podiatric Medicine (DPM)
Phone: (860) 510-0502
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Customized Equipment | 332BC3200X |
Profile Details
| NPI number | 1114100989 |
|---|---|
| LBN Legal business name | John T. Carroll, Dpm Pc |
| DBA Doing business as | |
| Authorized official | Carroll, John T Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 14th, 2007 |
| Last updated | Jan 29th, 2016 - about 8 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 | 1114100989 | NPPES |
| Connecticut | Other | 008063266 | MEDICAID DME/MEDICAL SUPPLY DEALER |
| Connecticut | MEDICAID | 008059379 | MEDICAID DME/MEDICAL SUPPLY DEALER |
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