Healing Edge Medical Associates LLC
Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine in East Granby, Connecticut
1134450828- Practice location
- 29 Kripes RD, Suite M, East Granby, CT 06026-9669
- Phone
- 860-413-3883
- Fax
- 860-413-3884
- Last updated
- June 19, 2013
Healing Edge Medical Associates LLC is a healthcare organization based in East Granby, CT. Healing Edge Medical Associates LLC practices in East Granby, CT. The NPI Number for Healing Edge Medical Associates LLC is 1134450828 and holds a License No. 036511 (CT). The current practice location address for Healing Edge Medical Associates LLC is 29 Kripes RD, Suite M, East Granby, CT 06026-9669 and can be reached out via phone at 860-413-3883 and via fax at 860-413-3884.
Provider Profile Details
- NPI Number
- 1134450828
- Provider Name
- Healing Edge Medical Associates LLC
- Provider Entity Type
- Organization
- Address
- 29 Kripes RD, Suite M, East Granby, CT 06026-9669
- Phone Number
- 860-413-3883
- Fax Number
- 860-413-3884
- Primary Taxonomy
- Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine · 2083P0500X
- Organization Subpart
- No
- Authorized Official
- Dr. Ronald Dale Agnes, MD · President/Physician · 860-978-8825
- Provider Enumeration Date
- January 20, 2010
- Last Update Date
- June 19, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 29 Kripes RD
Suite M
East Granby, CT 06026-9669 - City
- East Granby
- State
- Connecticut
- Zip
- 06026-9669
- Phone Number
- 860-413-3883
- Fax Number
- 860-413-3884
Provider Business Mailing Address Details
- Address
- Po Box 152
Simsbury, CT 06070-0152 - City
- Simsbury
- State
- CT
- Zip
- 06070-0152
- Phone Number
- 860-978-8825
License Information
- License Number (1)
- 036511
- License State (1)
- CT
- Taxonomy (1)
- Emergency Medicine · 207P00000X
- License Number (2)
- 036511
- License State (2)
- CT
- Taxonomy (2)
- Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine · 2083P0500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Healing Edge Medical Associates LLC?
The NPI number of Healing Edge Medical Associates LLC is 1134450828. It was assigned on January 20, 2010 and is currently active in the NPPES registry.
What is the specialty of Healing Edge Medical Associates LLC?
Healing Edge Medical Associates LLC is registered under the primary taxonomy Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (code 2083P0500X), licensed in CT under license number 036511.
Where does Healing Edge Medical Associates LLC practice?
The practice location is 29 Kripes RD, Suite M, East Granby, CT 06026-9669. The office can be reached at 860-413-3883 (phone) or 860-413-3884 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134450828 directly on the NPPES registry website.