| Organization Name: | WOODBURY CHIROPRACTIC CENTER |
| NPI Number: | 1457343006 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHERYL POGONOWSKI (OFFICE MANAGER) |
| Mailing Address: | 264 Main St S Woodbury |
| State: | CT US |
| Postal Code: | 067983407 |
| Phone Number: | 2032630400 |
| Fax Number: | 2032630090 |
| NPI Enumeration Date: | 08/19/2005 |
| NPI Last Update Date: | 06/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 08/01/2008 |
| NPI Reactivation Date: | 06/22/2012 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 111N00000X |
| License Number: | 263CT |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Chiropractic Providers |
| Taxonomy Classification: | Chiropractor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | 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. |