Provider Demographics
NPI:1154752129
Name:CHIROPRACTIC CARE, LLC
Entity type:Organization
Organization Name:CHIROPRACTIC CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LEVINE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:203-250-7246
Mailing Address - Street 1:334 N BROOKSVALE RD
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-3339
Mailing Address - Country:US
Mailing Address - Phone:203-250-7246
Mailing Address - Fax:
Practice Address - Street 1:1162 DIXWELL AVE
Practice Address - Street 2:SUITE A
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06514-4732
Practice Address - Country:US
Practice Address - Phone:203-250-7246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-02
Last Update Date:2013-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001415261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty