Provider Demographics
NPI:1285126458
Name:DUQUIN FAMILY CHIROPRACTIC, PLLC
Entity type:Organization
Organization Name:DUQUIN FAMILY CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:DUQUIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:716-603-5752
Mailing Address - Street 1:532 E GOUNDRY ST
Mailing Address - Street 2:
Mailing Address - City:NORTH TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-6211
Mailing Address - Country:US
Mailing Address - Phone:716-603-5752
Mailing Address - Fax:716-264-4884
Practice Address - Street 1:3950 E ROBINSON RD STE 109
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-2041
Practice Address - Country:US
Practice Address - Phone:716-603-5752
Practice Address - Fax:716-264-4884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-04
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX012737111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty