National Provider Identifier Database

PERSONAL CARE PEDS LLC
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

PERSONAL CARE PEDS LLC
340 N MAIN ST
SOUTHINGTON, CT06489
Phone: 860-628-5767
Fax: 860-628-0218
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for PERSONAL CARE PEDS LLC

NPI Number 1336362755
Legal business name
LBN
PERSONAL CARE PEDS LLC
Authorized official ARTHUR BLUMER - (MEMBER)
Entity Organization
Organization subpart No
Enumeration date 04/11/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • CT License #: 15074

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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