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PROHEALTH CHIROPRACTIC CENTER LLC NPI 1306022496


NPI Information

NPI: 1306022496
Provider Name: PROHEALTH CHIROPRACTIC CENTER, LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1127 TOLLAND TURNPIKE
SUITE 102
MANCHESTER, CT
ZIP 06042
Phone: (860) 432-7432
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PROHEALTH CHIROPRACTIC CENTER, LLC is a chiropractor in Manchester, 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. PROHEALTH CHIROPRACTIC CENTER, LLC NPI is 1306022496. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1127 TOLLAND TURNPIKE
SUITE 102
MANCHESTER, CT
ZIP 06042
Phone: (860) 432-7432
Fax: (860) 432-7432

The provider's authorized official is Jason Allen Sousa .
The authorized official title is Owner Chiropractor and has the following contact phone number (860) 432-7432.

The enumeration date for this NPI number is 1/18/2008 and was last updated on 7/16/2008.


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
1111N00000XChiropractor001722CONNECTICUTNo
2111N00000XChiropractor001726CONNECTICUTYes

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
1C03898OTHERGROUP MEDICARE
2V09064MEDICARE UPINMAINE
3432191999MEDICAIDMAINE
4ME1910OTHERMAINEMEDICARE PROVIDER 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: 4/28/2024

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