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HEADZONE LLC NPI 1932456068


NPI Information

NPI: 1932456068
Provider Name: HEADZONE LLC

Doing Business As: HEADZONE CONCUSSION CARE

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
1389 W MAIN ST
SUITE 325
WATERBURY, CT
ZIP 06708
Phone: (203) 527-3181
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HEADZONE LLC is a medical specialty clinic center in Waterbury, CT. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). HEADZONE LLC NPI is 1932456068. The provider is registered as an organization entity type.
The provider Is Doing Business As Headzone Concussion Care.

The provider's business location address is:

1389 W MAIN ST
SUITE 325
WATERBURY, CT
ZIP 06708-104
Phone: (203) 527-3181

The provider's authorized official is Tammy Carrasquillo .
The authorized official title is Office Manager and has the following contact phone number (203) 527-3181.

The enumeration date for this NPI number is 8/8/2012 and was last updated on 8/8/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QH0100XClinic/CenterHealth ServiceCLPOL0098CONNECTICUTNo
2261QM2500XClinic/CenterMedical SpecialtyCLPOL0098CONNECTICUTYes

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: 11/14/2023

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