Provider Demographics
NPI:1790707206
Name:SPLINTING SOLUTIONS, LLC
Entity Type:Organization
Organization Name:SPLINTING SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEEHAN
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:860-568-0825
Mailing Address - Street 1:935 MAIN ST.
Mailing Address - Street 2:SUITE D2
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06040-6050
Mailing Address - Country:US
Mailing Address - Phone:860-568-0825
Mailing Address - Fax:860-263-8175
Practice Address - Street 1:935 MAIN ST.
Practice Address - Street 2:SUITE D2
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-6050
Practice Address - Country:US
Practice Address - Phone:860-568-0825
Practice Address - Fax:860-263-8175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-24
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000464332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004221579Medicaid
CT4410120001Medicare NSC