Shoreline Orthopedics & Sports Medicine, Llc
LBN: Shoreline Orthopedics & Sports Medicine, Llc
Shoreline Orthopedics & Sports Medicine, Llc is an health care organization with primary practice located at 12 Bokum Rd , Essex CT 06426-1500. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty.
Shoreline Orthopedics & Sports Medicine, Llc can be contacted via phone (860) 767-9053, or through White, Martin Jeffrey via phone (860) 767-9053.
Contact Information
Primary practice address
12 Bokum Rd
Essex CT 06426-1500
Phone: (860) 767-9053
Fax: (860) 767-1146
Website:
Authorized official contact:
Name: White, Martin Jeffrey Doctor of Medicine (MD)
Phone: (860) 767-9053
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 027273 | Connecticut |
Profile Details
| NPI number | 1861425597 |
|---|---|
| LBN Legal business name | Shoreline Orthopedics & Sports Medicine, Llc |
| DBA Doing business as | |
| Authorized official | White, Martin Jeffrey Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 8th, 2006 |
| Last updated | Dec 8th, 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 | 1861425597 | NPPES |
| Connecticut | MEDICAID | 004246824 |
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