| Thehealingpractice Llc | |
|
555 Bridgeport Ave Shelton CT 06484-4749 | |
| (203) 987-0717 | |
| Not Available |
| Full Name | Thehealingpractice Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 555 Bridgeport Ave, Shelton, Connecticut |
| Authorized Official Name and Position | Andrew Killen (MD) |
| Authorized Official Contact | 2039870717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thehealingpractice Llc 555 Bridgeport Ave Shelton CT 06484-4749 Ph: (203) 987-0717 | Thehealingpractice Llc 555 Bridgeport Ave Shelton CT 06484-4749 Ph: (203) 987-0717 |
| NPI Number | 1528455623 |
|---|---|
| Provider Enumeration Date | 04/16/2015 |
| Last Update Date | 04/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528455623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 046395 (Connecticut) | Primary |
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