Provider Demographics
NPI:1013088970
Name:FERRIGNO, LOUIS ANTHONY III
Entity Type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:ANTHONY
Last Name:FERRIGNO
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:EAST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06512
Mailing Address - Country:US
Mailing Address - Phone:203-469-5731
Mailing Address - Fax:203-467-3894
Practice Address - Street 1:32 MAIN STREET
Practice Address - Street 2:
Practice Address - City:EAST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06512
Practice Address - Country:US
Practice Address - Phone:203-469-5731
Practice Address - Fax:203-467-3894
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003902225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
080003902CT01OtherBC
A773123OtherOXFORD
00409518000OtherBC FAMILY
OV6237OtherHNET
000952OtherAETNA
0112701OtherORTHONET HNET
706624OtherCT CARE
706624OtherCT CARE