Interstate Chiropractic Shaw Robert N & E M Wagner Ptrs

NPI 1295912723 - Chiropractor - 111N00000X

NPI Details
NPI 1295912723
Enumeration Date 01/28/2008
Last Updated 06/16/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name ROBERT ROBERT
Position OWNER
Phone (860) 621-1919
Fax
Practice Location
1783 MERIDEN WATERBURY TURNPIKE
MILLDALE CT, 06467-0475, US
Phone (860) 621-1919
Fax
Business Location
1783 MERIDEN WATERBURY TPKE
MILLDALE CT, 06467-0475, US
Phone (860) 621-1919
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Connecticut
License Number CT01066
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According to our database, Interstate Chiropractic Shaw Robert N & E M Wagner Ptrs NPI is 1295912723, taxonomy code is 111N00000X and license number is CT01066, license state is located at Connecticut. Interstate Chiropractic Shaw Robert N & E M Wagner Ptrs physically located at 1783 Meriden Waterbury Turnpike, Milldale CT, 06467-0475. NPI Number 1033115704 has the healthcare provider type.

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1295912723 NPI number is provided on an as is basis without warranty of any kind. 1295912723 is maintained by the National Plan & Provider Enumeration System. The contents of Interstate Chiropractic Shaw Robert N & E M Wagner Ptrs are for informational purposes only.