DR. TERRY MYRON HORBAL M.D. NPI 1962646067

NPI Information

NPI: 1962646067
Provider Name: DR. TERRY MYRON HORBAL, M.D.
Classification: Anesthesiology - 207LA0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

CLIA Number: 07D2042279

Address:
555 BRIDGEPORT AVE FL 2
SHELTON, CT
ZIP 06484
Phone: (203) 913-9193
Get Directions

DR. Terry Myron Horbal, M.D. is an addiction medicine anesthesiology in Shelton, CT. The provider is an anesthesiologist who specializes in the diagnosis and treatment of addictions. DR. Terry Myron Horbal, M.D. NPI is 1962646067. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

555 BRIDGEPORT AVE FL 2
SHELTON, CT
ZIP 06484-749
Phone: (203) 913-9193

The NPI 1962646067 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 07D2042279 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/21/2009 and was last updated on 8/29/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207LP2900X	Anesthesiology	Pain Medicine	CT033304	CONNECTICUT	No
2	207L00000X	Anesthesiology		033304	CONNECTICUT	No
3	207LA0401X	Anesthesiology	Addiction Medicine	CT033304	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1234567789	OTHER	CONNECTICUT	NA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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