Healthcare Provider Details

I. General information

NPI: 1508730284
Provider Name (Legal Business Name): BLUE OCEAN FAMILY CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1460 MERIDEN WATERBURY RD STE 7
PLANTSVILLE CT
06479-2021
US

IV. Provider business mailing address

1460 MERIDEN WATERBURY RD STE 7
PLANTSVILLE CT
06479-2021
US

V. Phone/Fax

Practice location:
  • Phone: 860-863-4100
  • Fax:
Mailing address:
  • Phone: 860-863-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MEGHAN MCNICHOLAS-LEGGETT
Title or Position: OWNER
Credential: DC
Phone: 860-863-4100