Main Medical-Mystic, Llc

LBN: Main Medical-Mystic, Llc
Main Medical-Mystic, Llc is an health care organization with primary practice located at 23 Clara Dr Suite 201, Mystic CT 06355-1959. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Main Medical-Mystic, Llc can be contacted via phone (860) 536-1666, or through Main, Roy Martin via phone (860) 536-1666.

Contact Information

Primary practice address
23 Clara Dr Suite 201 Mystic CT 06355-1959
Phone: (860) 536-1666
Fax: (860) 536-9770
Website:
Map and Directions
Authorized official contact:
Name: Main, Roy Martin Doctor of Medicine (MD)
Phone: (860) 536-1666

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 031865 Connecticut

Profile Details

NPI number 1003001850
LBN Legal business name Main Medical-Mystic, Llc
DBA Doing business as
Authorized official Main, Roy Martin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2007
Last updated Sep 13th, 2007 - about 17 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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