Doctor Name: | DR. BEVERLEY A. MARR |
NPI Number: | 1588815807 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | 001137 |
Business Practice Address: | 22 5th St Suite 208 Stamford, CT - 069055030 |
Business Phone Number: | 2035690067 |
Business Fax Number: | |
Mailing Address: | 601 Elm St, MONROE |
State: | CT |
Postal Code: | 064681804 |
Phone Number: | 2034521110 |
Fax Number: | |
NPI Enumeration Date: | 10/06/2008 |
NPI Last Update Date: | 10/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 001137 |
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. |