Individual provider · Type 1 NPI
Jonathan Peter Konecny, DC
Chiropractor · Bridgeport, CT
NPI number
1245364017
Active
Practice location
2140 Park Ave
Bridgeport, CT 06604-1915
Fax (203) 333-1828
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 000762 (CT) |
| Rehabilitation Chiropractor | 111NR0400X | 000762 (CT) |
Chiropractor: 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 interrelationship with other body systems.
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About NPI 1245364017
Jonathan Peter Konecny, DC's National Provider Identifier is 1245364017, issued on Mar 15, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Bridgeport, CT. The record was last updated on Apr 7, 2010.