EASTERN CONNECTICUT NEUROLOGY SPECIALIST LLC – NPI #1932141298
Psychiatry & Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

EASTERN CONNECTICUT NEUROLOGY SPECIALIST LLC is a psychiatry & neurologist located in MANCHESTER, CT. NPPES has assigned the NPI number 1932141298 to EASTERN CONNECTICUT NEUROLOGY SPECIALIST LLC on June 12, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology

The NPI profile was previously updated about 12 years ago on Apr 24, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EASTERN CONNECTICUT NEUROLOGY SPECIALIST LLC below.

NPI Profile for
EASTERN CONNECTICUT NEUROLOGY SPECIALIST LLC

NPI Number
1932141298
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EASTERN CONNECTICUT NEUROLOGY SPECIALIST LLC
Primary location
394 W CENTER ST
MANCHESTER, CT 06040-4735
Phone: (860) 647-9183 Fax: (860) 647-0582
Mailing address
PO BOX 3262
VERNON, CT 06066-2162
Phone: (860) 896-1422 Fax: (860) 896-1425
Organization Subpart
No
Authorized Official
JESSICA WOODRUFF
OFFICE MANAGER
Phone: (860) 647-9183
Updated
Identifiers

Identifiers for EASTERN CONNECTICUT NEUROLOGY SPECIALIST LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE GROUPCTC03446
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084N0400X
- Psychiatry & Neurology / Neurology (Primary)
CT 039584
363L00000X
- Nurse Practitioner
CT 005619

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.