Quinnipiac Physical Therapy & Sports Medicine Pc

LBN: Quinnipiac Physical Therapy & Sports Medicine Pc
Quinnipiac Physical Therapy & Sports Medicine Pc is an health care organization with primary practice located at 202 State St , North Haven CT 06473-2207. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Quinnipiac Physical Therapy & Sports Medicine Pc can be contacted via phone (203) 239-4274, or through Mikos, David via phone (203) 239-4274.

Contact Information

Primary practice address
202 State St North Haven CT 06473-2207
Phone: (203) 239-4274
Fax: (203) 239-4290
Website:
Map and Directions
Authorized official contact:
Name: Mikos, David D.C., P.T., M.C.T.A.
Phone: (203) 239-4274

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1801896485
LBN Legal business name Quinnipiac Physical Therapy & Sports Medicine Pc
DBA Doing business as
Authorized official Mikos, David D.C., P.T., M.C.T.A.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2005
Last updated Jan 13th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801896485 NPPES
Connecticut MEDICAID 004215407

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