Provider Demographics
NPI:1972791499
Name:NEW MILFORD CHIROPRACTIC
Entity type:Organization
Organization Name:NEW MILFORD CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MCNEARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-556-3594
Mailing Address - Street 1:5 OLD TOWN PARK ROAD
Mailing Address - Street 2:SOUTH END PLAZA UNIT 70
Mailing Address - City:NEW MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06776
Mailing Address - Country:US
Mailing Address - Phone:860-210-0288
Mailing Address - Fax:860-210-0272
Practice Address - Street 1:5 OLD TOWN PARK ROAD
Practice Address - Street 2:SOUTH END PLAZA UNIT 70
Practice Address - City:NEW MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06776
Practice Address - Country:US
Practice Address - Phone:860-210-0288
Practice Address - Fax:860-210-0272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-10
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001565111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTU99337Medicare UPIN
CT1972791499Medicare PIN
CT350001310Medicare PIN