Interstate Chiropractic Shaw Robert N & E M Wagner Ptrs in Milldale - Chiropractor
Interstate Chiropractic Shaw Robert N & E M Wagner Ptrs - NPI 1295912723
Interstate Chiropractic Shaw Robert N & E M Wagner Ptrs is a Chiropractor in Milldale, Connecticut. Interstate Chiropractic Shaw Robert N & E M Wagner Ptrs practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Interstate Chiropractic Shaw Robert N & E M Wagner Ptrs is 1295912723. The last update date is 2008-06-16.
Interstate Chiropractic Shaw Robert N & E M Wagner Ptrs's current location address is 1783 Meriden Waterbury Tpke, Milldale, Connecticut. You can contact this provider via phone number 8606211919. The mailing address for Interstate Chiropractic Shaw Robert N & E M Wagner Ptrs is 1783 Meriden Waterbury Tpke, Milldale, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Interstate Chiropractic Shaw Robert N & E M Wagner Ptrs |
|---|---|
| Address | 1783 Meriden Waterbury Tpke, Milldale, Connecticut |
| Phone Number | 8606211919 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Shaw Robert |
| Credentials | DC |
| Telephone Number | 8606211919 |
NPI Number Detail
| NPI Number | 1295912723 |
|---|---|
| Provider Enumeration Date | 2008-01-28 |
| Last Updated Date | 2008-06-16 |
Provider Mailing Address Detail
| Address | 1783 Meriden Waterbury Tpke |
|---|---|
| City | Milldale |
| State | Connecticut (CT) |
| Post Code | 64670475 |
| Phone Number | 8606211919 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CT01066 |
|
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 |
|---|---|---|---|
| 050001066CT01 | CT | BC/BS LEGACY PROVIDER ID |
Post Comment/ Review Below
What is the unique identification code assigned to Interstate Chiropractic Shaw Robert N & E M Wagner Ptrs by the Centers for Medicare & Medicaid Services?
The Interstate Chiropractic Shaw Robert N & E M Wagner Ptrs has been issued the NPI (National Provider Identifier) 1295912723. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Interstate Chiropractic Shaw Robert N & E M Wagner Ptrs's physical address?
The Interstate Chiropractic Shaw Robert N & E M Wagner Ptrs is physically located at 1783 Meriden Waterbury Tpke, in the city of Milldale, CT, with the postal code 64670475.
What is Interstate Chiropractic Shaw Robert N & E M Wagner Ptrs's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Interstate Chiropractic Shaw Robert N & E M Wagner Ptrs's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date did the Interstate Chiropractic Shaw Robert N & E M Wagner Ptrs receive the assignment of its 1295912723 from the Centers for Medicare & Medicaid Services?
The Interstate Chiropractic Shaw Robert N & E M Wagner Ptrs was issued its 1295912723 by the Centers for Medicare & Medicaid Services on 2008-01-28.
As of what date were the details pertaining to Interstate Chiropractic Shaw Robert N & E M Wagner Ptrs last refreshed?
The information related to the Interstate Chiropractic Shaw Robert N & E M Wagner Ptrs, including its address, specialty, and other relevant details, was last updated on 2008-06-16.