Organization · Type 2 NPI

Interstate Chiropractic Shaw Robert N & E M Wagner PTRS

Chiropractor · Milldale, CT

NPI number 1295912723 Active

Practice location

1783 Meriden Waterbury Turnpike
Milldale, CT 06467-0475

Mailing address

1783 Meriden Waterbury Tpke
Milldale, CT 06467-0475

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCT01066 (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 1295912723

Interstate Chiropractic Shaw Robert N & E M Wagner PTRS's National Provider Identifier is 1295912723, issued on Jan 28, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Milldale, CT. The record was last updated on Jun 16, 2008.