Healthcare Provider Details

I. General information

NPI: 1801932611
Provider Name (Legal Business Name): GEORGE PAUL SULIKOWSKI D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 12/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 HALL HILL RD
SOMERS CT
06071-1418
US

IV. Provider business mailing address

227 HALL HILL RD
SOMERS CT
06071-1418
US

V. Phone/Fax

Practice location:
  • Phone: 860-749-0220
  • Fax: 860-763-4940
Mailing address:
  • Phone: 860-749-0220
  • Fax: 860-763-4940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number000576
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1082
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: