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Contact Information

WAIRE LLC
105 WEST RD
ELLINGTON, CT06029-5700
 Phone: 860-871-5402
 Fax: 860-871-5413
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Clinic/Center

261Q00000X
Indicates primary specialty

NPI Profile & details for WAIRE LLC

NPI Number 1871744243
LBN Legal business name WAIRE LLC
Authorized official ERUM SHAHAB - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2008
Last updated 02/24/2015 - About 11 years ago
Identifiers
CT License # 043112
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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