Organization
PREVENTATIVE HEALTHCARE SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOEL H SEPULVEDA D.C. (OWNER)
(203) 870-8008
Entity
Organization
Contact information
Practice address
80 ELM ST, BRIDGEPORT, CT 06604-4115
(203) 870-8008
(203) 330-8007
Mailing address
80 ELM ST, BRIDGEPORT, CT 06604-4115
(203) 870-8008
(203) 330-8007
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
111N00000X
Chiropractor
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D100262848
MEDICARE PTAN
CT
Enumeration date
08/18/2015
Last updated
03/26/2026
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