Equilibrium Natural Clinic LLC

Primary specialty

NaturopathTaxonomy code 175F00000X

Legal business name

EQUILIBRIUM NATURAL CLINIC LLC

Practice address

96 Connecticut Blvd
East Hartford, CT 06108-3013

Phone

(860) 615-7758

NPI assigned

Feb 10, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Wilberto Lugo, D

Title

Owner

Phone

(860) 719-8882

Specialties & licenses 1

Addresses

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1821620659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 SIGOURNEY ST APT C4",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051913",
            "telephone_number": "860-719-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 CONNECTICUT BLVD",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083013",
            "telephone_number": "860-615-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUILIBRIUM NATURAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "LUGO",
        "authorized_official_first_name": "WILBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-719-8882",
        "authorized_official_credential": "D"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://ehr2.charmtracker.com/ehr/main.do",
            "affiliation": "N",
            "endpointDescription": "Electronical Medical Record",
            "address_1": "96 Connecticut Blvd",
            "city": "East Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061083013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Equilibrium Natural Clinic, LLC
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• Naturopath in East Hartford, CT
• Providers in East Hartford, CT by specialty
• Naturopath in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.