Mystic Spine & Sport Llc

LBN: Mystic Spine & Sport Llc
Mystic Spine & Sport Llc is an health care organization with primary practice located at 12 Coogan Blvd Ste 204 , Mystic CT 06355-1938. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Mystic Spine & Sport Llc can be contacted via phone (860) 245-4620, or through Page, Tyler Curtis via phone (860) 245-4620.

Contact Information

Primary practice address
12 Coogan Blvd Ste 204 Mystic CT 06355-1938
Phone: (860) 245-4620
Fax: (860) 245-5752
Website:
Map and Directions
Authorized official contact:
Name: Page, Tyler Curtis Doctor of Chiropractic (DC)
Phone: (860) 245-4620

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1952692592
LBN Legal business name Mystic Spine & Sport Llc
DBA Doing business as
Authorized official Page, Tyler Curtis Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2011
Last updated Feb 2nd, 2024 - about 2 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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