Provider Demographics
NPI:1851489132
Name:TOTAL HEALTH & MEDICAL, P.C.
Entity Type:Organization
Organization Name:TOTAL HEALTH & MEDICAL, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:MCKAY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:203-656-3636
Mailing Address - Street 1:555 POST ROAD
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:CT
Mailing Address - Zip Code:06820
Mailing Address - Country:US
Mailing Address - Phone:203-656-3636
Mailing Address - Fax:203-656-0741
Practice Address - Street 1:555 POST ROAD
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:CT
Practice Address - Zip Code:06820
Practice Address - Country:US
Practice Address - Phone:203-656-3636
Practice Address - Fax:203-656-0741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT900111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTP2543162OtherOXFORD
CTCV6843OtherHEALTH NET
CT050000900CT-01OtherANTHEM BCBS
CT4290869OtherAETNA
CT715927OtherCONNECTICARE
CTCT0900BOtherUNITED HEALTH CARE
CT=========OtherCIGNA
CT4290869OtherAETNA