Provider Type Icon

PURE CHIROPRACTIC LLC NPI 1194854760


NPI Information

NPI: 1194854760
Provider Name: PURE CHIROPRACTIC LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
671 OLD TOWN RD
PORT JEFFERSON STATION, NY
ZIP 11776
Phone: (631) 642-2388
Get Directions

PURE CHIROPRACTIC LLC is a chiropractor in Port Jefferson Station, NY. 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. PURE CHIROPRACTIC LLC NPI is 1194854760. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

671 OLD TOWN RD
PORT JEFFERSON STATION, NY
ZIP 11776-200
Phone: (631) 642-2388

The provider's authorized official is Sean Trujillo .
The authorized official title is Vice President and has the following contact phone number (631) 642-2388.

The enumeration date for this NPI number is 3/2/2007 and was last updated on 8/22/2020.


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
1111N00000XChiropractorYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.