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:
Map and Directions
Authorized official contact:
Name: Carroll, John T Doctor of Podiatric Medicine (DPM)
Phone: (860) 510-0502

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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