Healthcare Provider Details

I. General information

NPI: 1912827841
Provider Name (Legal Business Name): MARGARET LOUGH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MAGGIE LOUGH

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CENTER ST STE 100
WALLINGFORD CT
06492-4151
US

IV. Provider business mailing address

90 MAIN ST APT 608
DERBY CT
06418-0168
US

V. Phone/Fax

Practice location:
  • Phone: 203-626-9994
  • Fax:
Mailing address:
  • Phone: 317-869-3083
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2400
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: