1154387652 NPI number — THE CONNECTION INC.

Table of content: (NPI 1154387652)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154387652 NPI number — THE CONNECTION INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE CONNECTION INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1154387652
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/08/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
205 ORANGE STREET
Provider Second Line Business Mailing Address:
BILLING DEPT
Provider Business Mailing Address City Name:
NEW HAVEN
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06510-2069
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-776-9900
Provider Business Mailing Address Fax Number:
203-787-5599

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
205 ORANGE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW HAVEN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06510-2014
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-776-9900
Provider Business Practice Location Address Fax Number:
203-787-5599
Provider Enumeration Date:
04/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BOHAN
Authorized Official First Name:
LINDSEY
Authorized Official Middle Name:
M
Authorized Official Title or Position:
PRACTICE MANAGER
Authorized Official Telephone Number:
203-776-9900

Provider Taxonomy Codes

  • Taxonomy code: 261QM0850X , with the licence number:  C-0174 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: B000698 . This is a "GROUP # FOR DMHAS CTGA" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 446090 . This is a "MHN" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 140004316CT02 . This is a "BLUE CROSS" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 1700934296 . This is a "BLUE CROSS" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 329553 . This is a "VALU OPT CHN CT SAGA" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".




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