Provider Demographics
NPI:1699979716
Name:KOSSWIG, CHRISTINA LORI (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:LORI
Last Name:KOSSWIG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 BARWOOD MNR
Mailing Address - Street 2:
Mailing Address - City:UNIONVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06085-1211
Mailing Address - Country:US
Mailing Address - Phone:860-655-8277
Mailing Address - Fax:
Practice Address - Street 1:1031 FARMINGTON AVE
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-1511
Practice Address - Country:US
Practice Address - Phone:860-409-0525
Practice Address - Fax:860-409-0419
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001748111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor