Centro Quiropractico Hispano
Chiropractor in Bridgeport, CT. Organization (NPI-2).
NPI number1154571024
StatusActive
Last updated in NPPESSep 26, 2008
Details
- NPI
- 1154571024
- Entity type
- Organization (NPI-2)
- Legal business name
- Centro Quiropractico Hispano
- Organization subpart
- No
- Enumeration date
- Sep 26, 2008
- Last updated
- Sep 26, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 001491 | CT | Yes |
Practice location
1101 E Main StSuite 2
Bridgeport, CT 06608-1653
Phone 203-870-8962 · Fax 203-549-8960
Mailing address
1101 E Main StSuite 2
Bridgeport, CT 06608-1653
Phone 203-870-8962 · Fax 203-549-8960
Authorized official
Thezlay Diaz-Alpizar
Doctor
2038708962
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