Applegate Orthopedic Spine Center PC
Organization Active NPI Orthopaedic Surgery of the Spine Physician · Westbrook, CT
NPI 1174784797 · NPPES record last updated Jul 9, 2012
Key facts
- NPI
- 1174784797
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery of the Spine Physician 207XS0117X
- License
- 044333 (CT)
- Legal business name
- APPLEGATE ORTHOPEDIC SPINE CENTER PC
- Practice address
- 5 Pequot Park Rd
Suite 201a
Westbrook, CT 06498-2856 - Phone
- (860) 391-8068
- NPI assigned
- Jun 17, 2008
- Organization subpart
- No
Authorized official
- Name
- Todd David Applegate, DO
- Title
- Director
- Phone
- (860) 391-8068
National Provider Directory
Locations
12 Bokum Rd
#C
Essex, CT 06426
Phone (860) 575-7097
5 Pequot Park Rd
Ste 201A
Westbrook, CT 06498
Phone (860) 391-8068
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician |
207XS0117X | 044333 | CT | Yes |
Addresses
Primary practice location
5 Pequot Park Rd
Suite 201a
Westbrook, CT 06498-2856
Mailing address
5 Pequot Park Rd
Suite 201a
Westbrook, CT 06498-2856
Phone (860) 391-8068
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 044333 | Other | CT | CT LISENSE |
Other providers in Westbrook, CT
- 640 Massage Therapies LLC
- Vickie Lynn Adorno
- Ingrid Anderson
- Todd David Applegate
- Blake Michael Arnone
- Chigozie Avugara
- Abigail Bagnoli
- Jill M Banatoski
All providers in Westbrook, CT · Orthopaedic Surgery of the Spine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.