Keenan Russell & Moore Inc

LBN: Keenan Russell & Moore Inc
Keenan Russell & Moore Inc is an health care organization with primary practice located at 650 West Ave , Norwalk CT 06850-4020. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. Keenan Russell & Moore Inc can be contacted via phone (203) 866-2775, or through Jablonski, John via phone (203) 866-2775.

Contact Information

Primary practice address
650 West Ave Norwalk CT 06850-4020
Phone: (203) 866-2775
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jablonski, John LO
Phone: (203) 866-2775

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 001177 Connecticut

Profile Details

NPI number 1467510727
LBN Legal business name Keenan Russell & Moore Inc
DBA Doing business as
Authorized official Jablonski, John LO
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2006
Last updated Jul 16th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467510727 NPPES
Connecticut MEDICAID 004036364

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