NPI 1295912723

Interstate Chiropractic Shaw Robert N & E M Wagner Ptrs

Organisation Chiropractor Milldale, CT

Practice location

Address: 1783 Meriden Waterbury Turnpike, Milldale, CT 06467-0475
Phone: (860) 621-1919
Mailing address: 1783 Meriden Waterbury Tpke, Milldale, CT 06467-0475

Authorised official

Name: Robert Shaw
Title: Owner
Phone: (860) 621-1919

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence CT01066 (CT)

Other Chiropractor providers in Connecticut →

Registry record

NPI: 1295912723
Entity type: Organization
NPI issued: 28 Jan 2008
Record last updated: 16 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.