| Consolidated Health And Wellness Llc | |
|
168 S Main St Ste 2 Torrington CT 06790-6448 | |
| (609) 700-0788 | |
| (860) 970-0393 |
| Full Name | Consolidated Health And Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 168 S Main St Ste 2, Torrington, Connecticut |
| Authorized Official Name and Position | Lisa Haut (OWNER) |
| Authorized Official Contact | 8609463395 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Consolidated Health And Wellness Llc 32 Partridge Rd Warren CT 06754-1726 Ph: (860) 946-3395 | Consolidated Health And Wellness Llc 168 S Main St Ste 2 Torrington CT 06790-6448 Ph: (609) 700-0788 |
| NPI Number | 1750158234 |
|---|---|
| Provider Enumeration Date | 12/05/2023 |
| Last Update Date | 09/12/2024 |
| Medicare PECOS PAC ID | 1658719752 |
|---|---|
| Medicare Enrollment ID | O20240409002929 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750158234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Lisa Haut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962400150 PECOS PAC ID: 5496732737 Enrollment ID: I20040702001207 |
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