Back To Health Of Branford, Llc in Branford - Internist
Back To Health Of Branford, Llc - NPI 1215958772
Back To Health Of Branford, Llc is a Internist in Branford, Connecticut. Back To Health Of Branford, Llc practices all healthcare services and medical treatments related to Internist. The NPI Number for Back To Health Of Branford, Llc is 1215958772. The last update date is 2014-12-22.
Back To Health Of Branford, Llc's current location address is 400 W Main St, Branford, Connecticut. You can contact this provider via phone number 2034837778 and fax number 2034810234. The mailing address for Back To Health Of Branford, Llc is 400 W Main St, Branford, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Back To Health Of Branford, Llc |
|---|---|
| Address | 400 W Main St, Branford, Connecticut |
| Phone Number | 2034837778 |
| Fax Number | 2034810234 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE ADM |
|---|---|
| Authorized Official Name | Bailey L Sharon |
| Telephone Number | 2034837778 |
NPI Number Detail
| NPI Number | 1215958772 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2014-12-22 |
Provider Mailing Address Detail
| Address | 400 W Main St |
|---|---|
| City | Branford |
| State | Connecticut (CT) |
| Post Code | 64053416 |
| Phone Number | 2034837778 |
| Fax Number | 2034810234 |
Provider's Primary Taxonomy Detail
| Speciality | Internist |
|---|---|
| Taxonomy | 111Ni0900X |
| Licence No | 561 |
|
Definition: The chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 07D1072612 | CT | CLIA WAIVER | |
| C02868 | GROUP | ||
| 8038901 | CT | -- | |
| 8038939 | CT | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Back To Health Of Branford, Llc by the Centers for Medicare & Medicaid Services?
The Back To Health Of Branford, Llc has been assigned the NPI (National Provider Identifier) 1215958772 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Back To Health Of Branford, Llc located?
The Back To Health Of Branford, Llc is located at 400 W Main St, Branford, CT 64053416.
What is Back To Health Of Branford, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Back To Health Of Branford, Llc is Internist, and the corresponding taxonomy classification code for this specialized field is 111Ni0900X.
On what date did the Back To Health Of Branford, Llc receive its 1215958772 assignment from the Centers for Medicare & Medicaid Services?
The Back To Health Of Branford, Llc was assigned its 1215958772 by the Centers for Medicare & Medicaid Services on 2006-07-21.
When was the Back To Health Of Branford, Llc's information last updated?
The Back To Health Of Branford, Llc's information was last updated on 2014-12-22.
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