Organization
CONNCARE INC
Active
Organization
CONNCARE INC
Active
Other names
Backus Health Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL LOHR (VICE PRESIDENT)
(860) 889-8331
Entity
Organization
Contact information
Practice address
163 BROADWAY ST, COLCHESTER, CT 06415-1022
(860) 537-4601
(860) 537-6935
Mailing address
112 LAFAYETTE ST, NORWICH, CT 06360-2737
(860) 425-8715
(860) 425-8707
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004167864
—
CT
Enumeration date
10/30/2006
Last updated
07/19/2012
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