Active NPIOrganization

Healthsource Of East Lyme LLC

Chiropractor in East Lyme, Connecticut

NPI Number1790965267
Practice location
126 Boston Post RD, East Lyme, CT 06333-1606
Fax
—
Last updated
February 24, 2014

Healthsource Of East Lyme LLC is a healthcare organization based in East Lyme, CT. Healthsource Of East Lyme LLC practices in East Lyme, CT. The NPI Number for Healthsource Of East Lyme LLC is 1790965267 and holds a License No. 000310 (CT). The current practice location address for Healthsource Of East Lyme LLC is 126 Boston Post RD, East Lyme, CT 06333-1606 and can be reached out via phone at 860-739-3927.

Provider Profile Details

NPI Number
1790965267
Provider Name
Healthsource Of East Lyme LLC
Provider Entity Type
Organization
Address
126 Boston Post RD, East Lyme, CT 06333-1606
Phone Number
860-739-3927
Primary Taxonomy
Chiropractor · 111N00000X
Organization Subpart
No
Authorized Official
Dr. Thomas B Goulding, DC · Owner · 860-739-3927
Other Names
Sunrise Wellness Center LLC (Former Legal Business Name)
Provider Enumeration Date
November 13, 2007
Last Update Date
February 24, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
126 Boston Post RD
East Lyme, CT 06333-1606
Zip
06333-1606
Phone Number
860-739-3927
East Lyme, CT 06333Get directions →

Provider Business Mailing Address Details

Address
126 Boston Post RD
East Lyme, CT 06333-1606
City
East Lyme
State
CT
Zip
06333-1606
Phone Number
860-739-3927

License Information

License Number
000310
License State
CT
Taxonomy
Chiropractor · 111N00000X · 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 Healthsource Of East Lyme LLC?

The NPI number of Healthsource Of East Lyme LLC is 1790965267. It was assigned on November 13, 2007 and is currently active in the NPPES registry.

What is the specialty of Healthsource Of East Lyme LLC?

Healthsource Of East Lyme LLC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in CT under license number 000310.

Where does Healthsource Of East Lyme LLC practice?

The practice location is 126 Boston Post RD, East Lyme, CT 06333-1606. The office can be reached at 860-739-3927 (phone).

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 1790965267 directly on the NPPES registry website.

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