MEDICARE: DR. CHRISTOPHER RICKARD D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	1033	CT

General Provider Information

NPI Number	:	1114973799
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER RICKARD D.C.

Provider Business Mailing Address
First Line	:	531 NEW HAVEN AVE
Second Line	:
City	:	MILFORD
State	:	CT
Zip	:	06460-8613
Country	:	US
Telephone Number	:	203-878-7800
Fax Number	:	203-878-8849

Provider Business Practice Location Address
First Line	:	531 NEW HAVEN AVE
Second Line	:
City	:	MILFORD
State	:	CT
Zip	:	06460-8613
Country	:	US
Telephone Number	:	203-878-7800
Fax Number	:	203-878-8849

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	02/09/2015

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Directions to “ DR. CHRISTOPHER RICKARD D.C.” Practice Location

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