NPI

93 W Main Operating Llc

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2017-05-11
Last updated
2017-05-11

Specialties

Licenses

The registry row did not include a license.

Location

Practice location
93 W Town St
City
Norwich CT
Postal code
06360-2262
Phone
(860) 889-2614

Organization contact

Name
SHANNON RUBIN
Title
SOLE MBR
Phone
8608892614

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Other NPIs in Norwich, CT. 1,692 records in the public file.

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