Organization Name: | 80 GROVE STREET CHIROPRACTIC ASSOCIATES INC |
NPI Number: | 1487617437 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANASTASIOS K GEORGIOU (PRESIDENT) |
Mailing Address: | 80 Grove St Ridgefield |
State: | CT US |
Postal Code: | 068774104 |
Phone Number: | 2034314343 |
Fax Number: | 2034313423 |
NPI Enumeration Date: | 04/10/2006 |
NPI Last Update Date: | 02/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 001517 |
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. |