Active NPIOrganization

Back To Health Of Branford, LLC

Internal Medicine in Branford, Connecticut

NPI Number1215958772
Practice location
400 West Main Street, Branford, CT 06405
Fax
203-481-0234
Last updated
December 22, 2014

Back To Health Of Branford, LLC is a healthcare organization based in Branford, CT. Back To Health Of Branford, LLC practices in Branford, CT. The NPI Number for Back To Health Of Branford, LLC is 1215958772 and holds a License No. 000561 (CT). The current practice location address for Back To Health Of Branford, LLC is 400 West Main Street, Branford, CT 06405 and can be reached out via phone at 203-483-7778 and via fax at 203-481-0234.

Provider Profile Details

NPI Number
1215958772
Provider Name
Back To Health Of Branford, LLC
Provider Entity Type
Organization
Address
400 West Main Street, Branford, CT 06405
Phone Number
203-483-7778
Fax Number
203-481-0234
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Sharon L Bailey · Office Administrator · 203-483-7778
Provider Enumeration Date
July 21, 2006
Last Update Date
December 22, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 West Main Street
Branford, CT 06405
Zip
06405
Phone Number
203-483-7778
Fax Number
203-481-0234
Branford, CT 06405Get directions →

Provider Business Mailing Address Details

Address
400 W Main St
Branford, CT 06405-3416
City
Branford
State
CT
Zip
06405-3416
Phone Number
203-483-7778
Fax Number
203-481-0234

License Information

License Number (1)
000561
License State (1)
CT
Taxonomy (1)
Chiropractor, Internist · 111NI0900X
License Number (2)
148
License State (2)
CT
Taxonomy (2)
Chiropractor · 111N00000X
License Number (3)
002765
License State (3)
CT
Taxonomy (3)
Nurse Practitioner, Family · 363LF0000X
License Number (4)
001614
License State (4)
CT
Taxonomy (4)
Chiropractor · 111N00000X
License Number (5)
037255
License State (5)
CT
Taxonomy (5)
Prosthetic/Orthotic Supplier · 335E00000X
License Number (6)
037255
License State (6)
CT
License Number (7)
037255
License State (7)
CT
Taxonomy (7)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Back To Health Of Branford, LLC?

The NPI number of Back To Health Of Branford, LLC is 1215958772. It was assigned on July 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Back To Health Of Branford, LLC?

Back To Health Of Branford, LLC is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 000561.

Where does Back To Health Of Branford, LLC practice?

The practice location is 400 West Main Street, Branford, CT 06405. The office can be reached at 203-483-7778 (phone) or 203-481-0234 (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 1215958772 directly on the NPPES registry website.

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