Body Intelligence Holistic Health Center, LLC
Organization Active NPI Family Medicine Physician · Stratford, CT
NPI 1881006401 · NPPES record last updated Jun 2, 2014
Key facts
- NPI
- 1881006401
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- BODY INTELLIGENCE HOLISTIC HEALTH CENTER, LLC
- Practice address
- 90 Sands PL
Stratford, CT 06615-6661 - Phone
- (203) 710-3937
- NPI assigned
- Jun 2, 2014
- Organization subpart
- No
Authorized official
- Name
- Stephanie Soalt, ND
- Title
- Owner
- Phone
- (203) 710-3937
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
90 Sands PL
Stratford, CT 06615-6661
Mailing address
90 Sands PL
Stratford, CT 06615-6661
Phone (203) 710-3937
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- George Bloom
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- Kaelyn Bonaventura
- Karen Grante Bonnanzio
- Christopher J Boreyko
- Margaret Lynn Boulos
- Bernice Bova
All providers in Stratford, CT · Family Medicine 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 Jun 2, 2014. 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.