Organization Name: | BOYLAN CHIROPRACTIC LLC |
NPI Number: | 1063693935 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONNA MARIE BOYLAN (PRESIDENT) |
Mailing Address: | 2 Library Place Bethel |
State: | CT US |
Postal Code: | 068012106 |
Phone Number: | 2037432225 |
Fax Number: | 2037901421 |
NPI Enumeration Date: | 11/20/2007 |
NPI Last Update Date: | 11/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | 658 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |