Provider Demographics
NPI:1528253291
Name:CARRANO CHIROPRACTIC HEALTH CENTER LLC
Entity type:Organization
Organization Name:CARRANO CHIROPRACTIC HEALTH CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRANO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:203-868-5129
Mailing Address - Street 1:441 FOXON RD
Mailing Address - Street 2:
Mailing Address - City:EAST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06513-2018
Mailing Address - Country:US
Mailing Address - Phone:203-868-5129
Mailing Address - Fax:203-468-7883
Practice Address - Street 1:441 FOXON RD
Practice Address - Street 2:
Practice Address - City:EAST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06513-2018
Practice Address - Country:US
Practice Address - Phone:203-868-5129
Practice Address - Fax:203-468-7883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001465111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTT89690Medicare UPIN