Shoreline Medical Associates Llc
LBN: Shoreline Medical Associates Llc
Shoreline Medical Associates Llc is an health care organization with primary practice located at 1353 Boston Post Rd , Madison CT 06443-3445. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Family. Other Service Providers / Specialist is the primary health care specialty.
Shoreline Medical Associates Llc can be contacted via phone (203) 245-4933, or through Swenson, Jennifer P via phone (203) 245-4933.
Contact Information
Primary practice address
1353 Boston Post Rd
Madison CT 06443-3445
Phone: (203) 245-4933
Fax: (203) 245-4399
Website:
Authorized official contact:
Name: Swenson, Jennifer P Doctor of Medicine (MD)
Phone: (203) 245-4933
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 006159 | Connecticut |
Profile Details
| NPI number | 1497750798 |
|---|---|
| LBN Legal business name | Shoreline Medical Associates Llc |
| DBA Doing business as | |
| Authorized official | Swenson, Jennifer P Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Sep 16th, 2015 - about 9 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 | 1497750798 | NPPES |
| Connecticut | MEDICAID | 001222280 | |
| Connecticut | MEDICAID | 001378422 | |
| Connecticut | MEDICAID | 001421916 |
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