Physician Services Of Northeast Connecticut, Llc
LBN: Physician Services Of Northeast
Physician Services Of Northeast Connecticut, Llc is an health care organization with primary practice located at 320 Pomfret St Suite Csb2, Putnam CT 06260-1836. The organization recently has 7 registered licenses in different health care specialties including Other Service Providers / Midwife, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Physician Services Of Northeast can be contacted via phone (860) 928-6541, or through Drouin, Julie via phone (860) 928-6541.
Contact Information
Primary practice address
320 Pomfret St Suite Csb2
Putnam CT 06260-1836
Phone: (860) 928-6541
Fax: (860) 963-6450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | Connecticut | |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 207QA0000X | ||
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X |
Profile Details
| NPI number | 1891962221 |
|---|---|
| LBN Legal business name | Physician Services Of Northeast |
| DBA Doing business as | Physician Services Of Northeast Connecticut, Llc |
| Authorized official | Drouin, Julie |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 14th, 2008 |
| Last updated | Sep 16th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891962221 | NPPES |
| Connecticut | MEDICAID | 008001905 | |
| Connecticut | MEDICAID | 008014016 |
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