National Provider Identifier Database

REGENERISE HEALTH LLC
Health Service


Contact Information

REGENERISE HEALTH LLC
300 CHURCH ST STE 103
YALESVILLE, CT06492-2253
Phone: 860-994-7339
Fax:
Website:
Specialty Taxonomy Code
* Health Service 261QH0100X

* Indicates primary specialty

NPI Profile & details for REGENERISE HEALTH LLC

NPI Number 1154016160
Legal business name
LBN
REGENERISE HEALTH LLC
Authorized official AUTHURINE HANNAM-DAVIS - (APRN)
Entity Organization
Organization subpart No
Enumeration date 04/06/2023
Last updated 07/16/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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