Annette L Headley MD LLC
Dermatology in Mystic, Connecticut
1568772242- Practice location
- 56 Whitehall Ave, Mystic, CT 06355-1978
- Phone
- 860-536-1354
- Fax
- 860-536-7043
- Last updated
- November 9, 2010
Annette L Headley MD LLC is a healthcare organization based in Mystic, CT. Annette L Headley MD LLC practices in Mystic, CT. The NPI Number for Annette L Headley MD LLC is 1568772242 and holds a License No. 034245 (CT). The current practice location address for Annette L Headley MD LLC is 56 Whitehall Ave, Mystic, CT 06355-1978 and can be reached out via phone at 860-536-1354 and via fax at 860-536-7043.
Provider Profile Details
- NPI Number
- 1568772242
- Provider Name
- Annette L Headley MD LLC
- Provider Entity Type
- Organization
- Address
- 56 Whitehall Ave, Mystic, CT 06355-1978
- Phone Number
- 860-536-1354
- Fax Number
- 860-536-7043
- Primary Taxonomy
- Dermatology · 207N00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Annette L Headley, MD · Proprietor/Physician · 860-536-1354
- Provider Enumeration Date
- October 15, 2010
- Last Update Date
- November 9, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 56 Whitehall Ave
Mystic, CT 06355-1978 - City
- Mystic
- State
- Connecticut
- Zip
- 06355-1978
- Phone Number
- 860-536-1354
- Fax Number
- 860-536-7043
Provider Business Mailing Address Details
- Address
- 56 Whitehall Ave
Mystic, CT 06355-1978 - City
- Mystic
- State
- CT
- Zip
- 06355-1978
- Phone Number
- 860-536-1354
- Fax Number
- 860-536-7043
License Information
- License Number
- 034245
- License State
- CT
- Taxonomy
- Dermatology · 207N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dermatology providers near Mystic, CT
View all Dermatology providers in Mystic →- Mr. Michael J Alger, MS, LPCCounselor, Professional · NPI 1740550987
- Child And Family Agency Of Southeastern Connecticut, INC.Clinic/Center · NPI 1306504220
- Child And Family Agency Of Southeastern Connecticut INC.Clinic/Center · NPI 1477252054
- Daniel S Brown, LCSWSocial Worker, Clinical · NPI 1306553482
- Margot BishopSpeech-Language Pathologist, · NPI 1194640383
- Christopher Level INCChiropractor · NPI 1770408643
Frequently Asked Questions
What is the NPI number of Annette L Headley MD LLC?
The NPI number of Annette L Headley MD LLC is 1568772242. It was assigned on October 15, 2010 and is currently active in the NPPES registry.
What is the specialty of Annette L Headley MD LLC?
Annette L Headley MD LLC is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in CT under license number 034245.
Where does Annette L Headley MD LLC practice?
The practice location is 56 Whitehall Ave, Mystic, CT 06355-1978. The office can be reached at 860-536-1354 (phone) or 860-536-7043 (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 1568772242 directly on the NPPES registry website.