DR. MARA SUSSMAN TABARES D.C. NPI 1912959164

NPI Information

NPI: 1912959164
Provider Name: DR. MARA SUSSMAN TABARES, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
94 LOCUST AVE
DANBURY, CT
ZIP 06810
Phone: (203) 830-3003
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DR. Mara Sussman Tabares, D.C. is a chiropractor in Danbury, 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. DR. Mara Sussman Tabares, D.C. NPI is 1912959164. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

94 LOCUST AVE
DANBURY, CT
ZIP 06810-032
Phone: (203) 830-3003

The enumeration date for this NPI number is 5/16/2006 and was last updated on 10/1/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		1339	CONNECTICUT	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	350001054	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT	MEDICARE NUMBER

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: 11/14/2023

NPI Synchronization or Removal

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