National Provider Identifier Database

CONNECTICUT VALLEY ORTHOPAEDICS SPORTS MEDICINE PC
Neuromusculoskeletal Medicine, Sports Medicine

A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation.


Contact Information

CONNECTICUT VALLEY ORTHOPAEDICS & SPORTS MEDICINE, PC
106 HANOVER ST
LEBANON, NH03766-1042
Phone: 802-885-6379
Fax: 802-885-6376
Website:
Specialty Taxonomy Code
* Neuromusculoskeletal Medicine, Sports Medicine 204C00000X

* Indicates primary specialty

NPI Profile & details for CONNECTICUT VALLEY ORTHOPAEDICS & SPORTS MEDICINE, PC

NPI Number 1487732822
Legal business name
LBN
CONNECTICUT VALLEY ORTHOPAEDICS & SPORTS MEDICINE, PC
Authorized official DAVID MULLER - (ADMINISTRATIVE PARTNER)
Entity Organization
Organization subpart No
Enumeration date 11/02/2006
Last updated 05/05/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • NH Medicaid: 30008018
  • VT Medicaid: VN1017

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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