Lyddy, Maura C
Lyddy, Maura C is an sole proprietor health care provider with primary practice located at 1077 Bridgeport Ave , Shelton CT 06484-4622. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Lyddy, Maura C can be contacted via phone (203) 929-5700.Contact Information
Primary practice address
1077 Bridgeport Ave
Shelton CT 06484-4622
Phone: (203) 929-5700
Fax: (203) 929-5600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 000501 | Connecticut |
Profile Details
| NPI number | 1598809154 |
|---|---|
| LBN Legal business name | Lyddy, Maura C |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1598809154 | NPPES |
| Connecticut | Other | 1354489-000 | STATE ID |
| Connecticut | Other | 050000501CT05 | STATE ID |
| Connecticut | Other | 720209 | STATE ID |
| Connecticut | Other | 0609776 | STATE ID |
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