Ridgefield Sports Medicine, Llc

LBN: Ridgefield Sports Medicine, Llc
Ridgefield Sports Medicine, Llc is an health care organization with primary practice located at 159 Danbury Rd Unit 105 , Ridgefield CT 06877-3235. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Ridgefield Sports Medicine, Llc can be contacted via phone (203) 403-6980, or through Pulick, Betsy A via phone (914) 760-3655.

Contact Information

Primary practice address
159 Danbury Rd Unit 105 Ridgefield CT 06877-3235
Fax: (203) 403-6172
Website:
Authorized official contact:
Name: Pulick, Betsy A Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1376009472
LBN Legal business name Ridgefield Sports Medicine, Llc
DBA Doing business as
Authorized official Pulick, Betsy A Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2019
Last updated May 2nd, 2019 - about 7 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 1376009472 NPPES
Connecticut MEDICAID 1356704688
Connecticut MEDICAID D400354364

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