Glastonbury Podiatry Group
LBN: Michael Scanlon
Glastonbury Podiatry Group is an health care organization with primary practice located at 162 Mansfield Ave # A , Willimantic CT 06226-2041. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Suppliers / Durable Medical Equipment & Medical Supplies. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty.
Michael Scanlon can be contacted via phone (860) 456-4250, or through Scanlon, Michael James via phone (860) 657-3668.
Contact Information
Primary practice address
162 Mansfield Ave # A
Willimantic CT 06226-2041
Phone: (860) 456-4250
Fax:
Website:
Authorized official contact:
Name: Scanlon, Michael James Doctor of Podiatric Medicine (DPM)
Phone: (860) 657-3668
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1669529954 |
|---|---|
| LBN Legal business name | Michael Scanlon |
| DBA Doing business as | Glastonbury Podiatry Group |
| Authorized official | Scanlon, Michael James Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Nov 15th, 2007 - about 18 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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