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SHORELINE SPINE & SPORT LLC NPI 1568884807


NPI Information

NPI: 1568884807
Provider Name: SHORELINE SPINE & SPORT, LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
47 CLAPBOARD HILL RD STE 1
GUILFORD, CT
ZIP 06437
Phone: (203) 453-2001
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SHORELINE SPINE & SPORT, LLC is a chiropractor in Guilford, CT. The provider is 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. SHORELINE SPINE & SPORT, LLC NPI is 1568884807. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

47 CLAPBOARD HILL RD STE 1
GUILFORD, CT
ZIP 06437-282
Phone: (203) 453-2001
Fax: (203) 453-2010

The provider's authorized official is Alfred Borges Furtado .
The authorized official title is Owner/doctor Of Chiropractic and has the following contact phone number (203) 453-2001.

The enumeration date for this NPI number is 1/6/2014 and was last updated on 1/27/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor001647CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1V07963MEDICARE UPINCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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