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Contact Information

FAIRFIELD COUNTY HEALTH & WELLNESS SERVICES, LLC
325 REEF RD
SUITE # 109
FAIRFIELD, CT06824-6537
 Phone: 203-955-1822
 Fax: 203-955-1823
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for FAIRFIELD COUNTY HEALTH & WELLNESS SERVICES, LLC

NPI # 1528481090
LBN Legal business name FAIRFIELD COUNTY HEALTH & WELLNESS SERVICES, LLC
Authorized official TASNEEM KHAN - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/03/2014
Last updated 02/03/2014 - About 12 years ago
Identifiers
CT License # 034005
CT Medicaid 001340059
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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