INDIGO WELLNESS GROUP LLC NPI 1033742481

NPI Information

NPI: 1033742481
Provider Name: INDIGO WELLNESS GROUP LLC

Former Legal Business Name: FAIRFIELD FAMILY ACUPUNCTURE LLC

Classification: Acupuncturist - 171100000X
Entity Type: Organization
Address:
144 MORGAN ST STE 1
STAMFORD, CT
ZIP 06905
Phone: (203) 658-7850
Get Directions

INDIGO WELLNESS GROUP LLC is an acupuncturist in Stamford, CT. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. INDIGO WELLNESS GROUP LLC NPI is 1033742481. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Fairfield Family Acupuncture Llc.

The provider's business location address is:

144 MORGAN ST STE 1
STAMFORD, CT
ZIP 06905-433
Phone: (203) 658-7850

The provider's authorized official is Sarah Swanberg .
The authorized official title is Owner/ Acupuncturist and has the following contact phone number (203) 658-7850.

The enumeration date for this NPI number is 2/13/2020 and was last updated on 12/15/2023.

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	Primary
1	133V00000X	Dietitian, Registered		No
2	1041C0700X	Social Worker	Clinical	No
3	261QM1300X	Clinic/Center	Multi-Specialty	No
4	261QP2000X	Clinic/Center	Physical Therapy	No
5	171100000X	Acupuncturist		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	1679808455	MEDICAID	NEW YORK
2	1942680111	MEDICAID	CONNECTICUT

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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