Greenwich Sports Medicine Pc in Greenwich - Chiropractor
Greenwich Sports Medicine Pc - NPI 1871780585
Greenwich Sports Medicine Pc is a Chiropractor in Greenwich, Connecticut. Greenwich Sports Medicine Pc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Greenwich Sports Medicine Pc is 1871780585. The last update date is 2022-02-11.
Greenwich Sports Medicine Pc's current location address is 10 Glenville St Ste 3, Greenwich, Connecticut. You can contact this provider via phone number 2035313131 and fax number 2035315690. The mailing address for Greenwich Sports Medicine Pc is 10 Glenville St Ste 3, Greenwich, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Greenwich Sports Medicine Pc |
|---|---|
| Address | 10 Glenville St Ste 3, Greenwich, Connecticut |
| Phone Number | 2035313131 |
| Fax Number | 2035315690 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Kenny Elise Lore Katie |
| Telephone Number | 2035313131 |
NPI Number Detail
| NPI Number | 1871780585 |
|---|---|
| Provider Enumeration Date | 2007-09-26 |
| Last Updated Date | 2022-02-11 |
Provider Mailing Address Detail
| Address | 10 Glenville St Ste 3 |
|---|---|
| City | Greenwich |
| State | Connecticut (CT) |
| Post Code | 68313680 |
| Phone Number | 2035313131 |
| Fax Number | 2035315690 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1228 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 350001350 | CT | MEDICARE # |
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What is the unique provider identifier assigned to Greenwich Sports Medicine Pc?
The Greenwich Sports Medicine Pc has been issued the NPI (National Provider Identifier) 1871780585 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Greenwich Sports Medicine Pc's physical address?
The Greenwich Sports Medicine Pc is physically located at 10 Glenville St Ste 3, in the city of Greenwich, CT, with the postal code 68313680.
What is the Greenwich Sports Medicine Pc's specialty and taxonomy code?
The Greenwich Sports Medicine Pc's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Greenwich Sports Medicine Pc receive the assignment of its 1871780585 from the Centers for Medicare & Medicaid Services?
The Greenwich Sports Medicine Pc was issued its 1871780585 by the Centers for Medicare & Medicaid Services on 2007-09-26.
When was the Greenwich Sports Medicine Pc's information last updated?
The Greenwich Sports Medicine Pc's information was last updated on 2022-02-11.
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