Shoreline Orthopedics & Sports Medicine, Llc in Essex - Durable Medical Equipment & Medical Supplies
Shoreline Orthopedics & Sports Medicine, Llc - NPI 1861425597
Shoreline Orthopedics & Sports Medicine, Llc is a Durable Medical Equipment & Medical Supplies in Essex, Connecticut. Shoreline Orthopedics & Sports Medicine, Llc practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Shoreline Orthopedics & Sports Medicine, Llc is 1861425597. The last update date is 2011-12-08.
Shoreline Orthopedics & Sports Medicine, Llc's current location address is 12 Bokum Rd, Essex, Connecticut. You can contact this provider via phone number 8607679053 and fax number 8607671146. The mailing address for Shoreline Orthopedics & Sports Medicine, Llc is 12 Bokum Rd, Essex, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shoreline Orthopedics & Sports Medicine, Llc |
|---|---|
| Address | 12 Bokum Rd, Essex, Connecticut |
| Phone Number | 8607679053 |
| Fax Number | 8607671146 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | White Jeffrey Martin |
| Credentials | M.D. |
| Telephone Number | 8607679053 |
NPI Number Detail
| NPI Number | 1861425597 |
|---|---|
| Provider Enumeration Date | 2006-07-08 |
| Last Updated Date | 2011-12-08 |
Provider Mailing Address Detail
| Address | 12 Bokum Rd |
|---|---|
| City | Essex |
| State | Connecticut (CT) |
| Post Code | 64261500 |
| Phone Number | 8607679053 |
| Fax Number | 8607671146 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
| Licence No | 27273 |
|
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4246824 | CT | -- |
Post Comment/ Review Below
What is the Shoreline Orthopedics & Sports Medicine, Llc's unique identification number?
The Shoreline Orthopedics & Sports Medicine, Llc has been assigned the NPI (National Provider Identifier) Number 1861425597 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Shoreline Orthopedics & Sports Medicine, Llc?
The Shoreline Orthopedics & Sports Medicine, Llc is physically situated at 12 Bokum Rd, in the city of Essex, state of CT, with the postal code 64261500.
What is Shoreline Orthopedics & Sports Medicine, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shoreline Orthopedics & Sports Medicine, Llc's area of specialization is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy code that categorizes this field of practice is 332B00000X.
On what date was the 1861425597 assigned to Shoreline Orthopedics & Sports Medicine, Llc?
The Shoreline Orthopedics & Sports Medicine, Llc was issued its 1861425597 on 2006-07-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Shoreline Orthopedics & Sports Medicine, Llc most recently updated or revised?
The details related to Shoreline Orthopedics & Sports Medicine, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2011-12-08.