Waterbury Podiatry Consultants
LBN: Waterbury Podiatry Consultants
Waterbury Podiatry Consultants is an health care organization with primary practice located at 171 Grandview Ave Suite 104, Waterbury CT 06708-2517. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty.
Waterbury Podiatry Consultants can be contacted via phone (203) 753-2048, or through Bernbach, Marc Richard via phone (203) 753-2048.
Contact Information
Primary practice address
171 Grandview Ave Suite 104
Waterbury CT 06708-2517
Phone: (203) 753-2048
Fax: (203) 753-5891
Website:
Authorized official contact:
Name: Bernbach, Marc Richard Doctor of Podiatric Medicine (DPM)
Phone: (203) 753-2048
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 000447 | Connecticut |
Profile Details
| NPI number | 1447430467 |
|---|---|
| LBN Legal business name | Waterbury Podiatry Consultants |
| DBA Doing business as | |
| Authorized official | Bernbach, Marc Richard Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 7th, 2007 |
| Last updated | Oct 23rd, 2012 - about 12 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 | 1447430467 | NPPES |
| Connecticut | MEDICAID | 409031 |
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