Active NPIIndividual provider

Gary R Italia, DC

Chiropractor in Hartford, Connecticut

NPI Number1104929702
Practice location
368 Franklin Ave, Hartford, CT 06114
Fax
860-296-9995
Last updated
April 16, 2013

Gary R Italia is a Chiropractor based in Hartford, CT. Gary R Italia practices in Hartford, CT and has the professional credentials of DC. The NPI Number for Gary R Italia is 1104929702 and holds a License No. 760 (CT). The current practice location address for Gary R Italia is 368 Franklin Ave, Hartford, CT 06114 and can be reached out via phone at 860-296-4411 and via fax at 860-296-9995.

Provider Profile Details

NPI Number
1104929702
Provider Name
Gary R Italia
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
368 Franklin Ave, Hartford, CT 06114
Phone Number
860-296-4411
Fax Number
860-296-9995
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
No
Provider Enumeration Date
September 7, 2006
Last Update Date
April 16, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
368 Franklin Ave
Hartford, CT 06114
Zip
06114
Phone Number
860-296-4411
Fax Number
860-296-9995
Hartford, CT 06114Get directions →

Provider Business Mailing Address Details

Address
Po Box 15
Rocky Hill, CT 06067
City
Rocky Hill
State
CT
Zip
06067
Phone Number
860-257-7448
Fax Number
860-257-9574

License Information

License Number (1)
760
License State (1)
CT
Taxonomy (1)
Chiropractor · 111N00000X · Primary
License Number (2)
451
License State (2)
CT
Taxonomy (2)
Nutritionist · 133N00000X
License Number (3)
451
License State (3)
CT
Taxonomy (3)
Dietitian, Registered · 133V00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Gary R Italia, DC?

The NPI number of Gary R Italia, DC is 1104929702. It was assigned on September 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Gary R Italia, DC?

Gary R Italia, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in CT under license number 760.

Where does Gary R Italia, DC practice?

The practice location is 368 Franklin Ave, Hartford, CT 06114. The office can be reached at 860-296-4411 (phone) or 860-296-9995 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104929702 directly on the NPPES registry website.

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