Provider Demographics
NPI:1194930230
Name:HAMDEN CHIROPRACTIC
Entity type:Organization
Organization Name:HAMDEN CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TARIFI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:203-248-7200
Mailing Address - Street 1:3281 WHITNEY AVE
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-1923
Mailing Address - Country:US
Mailing Address - Phone:203-248-7200
Mailing Address - Fax:
Practice Address - Street 1:3281 WHITNEY AVE
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-1923
Practice Address - Country:US
Practice Address - Phone:203-248-7200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty