Prism Sports Medicine, Llc

LBN: Prism Sports Medicine, Llc
Prism Sports Medicine, Llc is an health care organization with primary practice located at 31 Seymour Street Suite 204, Hartford CT 06106. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Prism Sports Medicine, Llc can be contacted via phone (860) 282-0833, or through Nissen, Carl via phone (860) 282-4128.

Contact Information

Primary practice address
31 Seymour Street Suite 204 Hartford CT 06106
Phone: (860) 282-0833
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nissen, Carl Doctor of Medicine (MD)
Phone: (860) 282-4128

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X

Profile Details

NPI number 1851920029
LBN Legal business name Prism Sports Medicine, Llc
DBA Doing business as
Authorized official Nissen, Carl Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 8th, 2020
Last updated Apr 8th, 2020 - about 6 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 1851920029 NPPES
Connecticut MEDICAID 00000000

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