National Provider Identifier Database

PODIATRY CENTER OF EASTERN CT LLC
Surgery, Foot & Ankle


Contact Information

PODIATRY CENTER OF EASTERN CT, LLC
360 TOLLAND TPKE STE 2C
MANCHESTER, CT06042-1770
Phone: 860-647-7727
Fax: 860-647-7559
Website:
Specialty Taxonomy Code
* Surgery, Foot & Ankle 213ES0103X

* Indicates primary specialty

NPI Profile & details for PODIATRY CENTER OF EASTERN CT, LLC

NPI Number 1144453895
Legal business name
LBN
PODIATRY CENTER OF EASTERN CT, LLC
Authorized official DONNA BOCCELLI - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/28/2009
Last updated 03/24/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • CT License #: 000769

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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