Provider Demographics
NPI:1316284391
Name:ARAYA FAMILY CHIROPRACTIC LLC
Entity type:Organization
Organization Name:ARAYA FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DC
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:R
Authorized Official - Last Name:ARAYA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:860-561-5433
Mailing Address - Street 1:39 TALCOTT RD
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06110-1227
Mailing Address - Country:US
Mailing Address - Phone:860-561-5433
Mailing Address - Fax:860-561-2754
Practice Address - Street 1:39 TALCOTT RD
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06110-1227
Practice Address - Country:US
Practice Address - Phone:860-561-5433
Practice Address - Fax:860-561-2754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-10
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1377111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1396884938Medicare PIN