Waterbury Chiropractic Office LLC
Chiropractor in Waterbury, Connecticut
1194112490- Practice location
- 255 Robbins St, Waterbury, CT 06708-2762
- Phone
- 203-573-8577
- Fax
- —
- Last updated
- May 25, 2021
Waterbury Chiropractic Office LLC is a healthcare organization based in Waterbury, CT. Waterbury Chiropractic Office LLC practices in Waterbury, CT. The NPI Number for Waterbury Chiropractic Office LLC is 1194112490 and holds a License No. 001584 (CT). The current practice location address for Waterbury Chiropractic Office LLC is 255 Robbins St, Waterbury, CT 06708-2762 and can be reached out via phone at 203-573-8577.
Provider Profile Details
- NPI Number
- 1194112490
- Provider Name
- Waterbury Chiropractic Office LLC
- Provider Entity Type
- Organization
- Address
- 255 Robbins St, Waterbury, CT 06708-2762
- Phone Number
- 203-573-8577
- Primary Taxonomy
- Chiropractor · 111N00000X
- Organization Subpart
- No
- Authorized Official
- Lori Fusco · Manager · 203-573-8577
- Other Names
- Active Life Chiropractic (Doing Business As)
- Provider Enumeration Date
- April 24, 2015
- Last Update Date
- May 25, 2021
- Certification Date
- May 25, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 255 Robbins St
Waterbury, CT 06708-2762 - City
- Waterbury
- State
- Connecticut
- Zip
- 06708-2762
- Phone Number
- 203-573-8577
Provider Business Mailing Address Details
- Address
- 255 Robbins St
Waterbury, CT 06708-2762 - City
- Waterbury
- State
- CT
- Zip
- 06708-2762
License Information
- License Number (1)
- 001584
- License State (1)
- CT
- Taxonomy (1)
- Chiropractor · 111N00000X
- License Number (2)
- 00196
- License State (2)
- CT
- Taxonomy (2)
- Chiropractor · 111N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Waterbury Chiropractic Office LLC?
The NPI number of Waterbury Chiropractic Office LLC is 1194112490. It was assigned on April 24, 2015 and is currently active in the NPPES registry.
What is the specialty of Waterbury Chiropractic Office LLC?
Waterbury Chiropractic Office LLC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in CT under license number 001584.
Where does Waterbury Chiropractic Office LLC practice?
The practice location is 255 Robbins St, Waterbury, CT 06708-2762. The office can be reached at 203-573-8577 (phone).
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 1194112490 directly on the NPPES registry website.