Roballey, Thomas Charles

Roballey, Thomas Charles is an sole proprietor health care provider with primary practice located at 500 Purdy Hill Rd. Suite 8, Monroe CT 06468-1661. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Roballey, Thomas Charles can be contacted via phone (203) 268-0035.

Contact Information

Primary practice address
500 Purdy Hill Rd. Suite 8 Monroe CT 06468-1661
Fax: (203) 268-0046
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X 00894 Connecticut

Profile Details

NPI number 1285727313
LBN Legal business name Roballey, Thomas Charles
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Mar 16th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285727313 NPPES
Connecticut Other 05-0000-894-CT03 BLUE CROSS PROVIDER I.D.
Connecticut MEDICAID 0041-30902 BLUE CROSS PROVIDER I.D.

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