Leary, Christopher J
Leary, Christopher J is an individual health care provider with primary practice located at 113 Elm St Ste 204 , Enfield CT 06082-3739. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Leary, Christopher J can be contacted via phone (860) 741-3001.Contact Information
Primary practice address
113 Elm St Ste 204
Enfield CT 06082-3739
Phone: (860) 741-3001
Fax: (860) 741-8332
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 000476 | Connecticut |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 000061 | Connecticut |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 3665 | Massachusetts |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 000061 | Connecticut |
Profile Details
| NPI number | 1215107099 |
|---|---|
| LBN Legal business name | Leary, Christopher J |
| Credentials | LADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2008 |
| Last updated | Mar 7th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215107099 | NPPES |
| Connecticut | Other | 301508 | MANAGED HEALTH NETWORK |
| Connecticut | Other | A412956 | MANAGED HEALTH NETWORK |
| Connecticut | Other | CTGA000477-B001475 | MANAGED HEALTH NETWORK |
| Connecticut | Other | 321137 | MANAGED HEALTH NETWORK |
| Connecticut | Other | 300000476CT01 | MANAGED HEALTH NETWORK |
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