MEDICARE: LEFFERT CHIROPRACTIC CENTER, P.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	261Q00000X	Clinic/Center	000467	CT

General Provider Information

NPI Number	:	1417234451
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEFFERT CHIROPRACTIC CENTER, P.C.

Provider Business Mailing Address
First Line	:	847 FOXON RD
Second Line	:
City	:	EAST HAVEN
State	:	CT
Zip	:	06513-1834
Country	:	US
Telephone Number	:	203-466-1769
Fax Number	:	203-467-2265

Provider Business Practice Location Address
First Line	:	847 FOXON RD
Second Line	:
City	:	EAST HAVEN
State	:	CT
Zip	:	06513-1834
Country	:	US
Telephone Number	:	203-466-1769
Fax Number	:	203-467-2265

Authorized Official
Title or Position	:	OWNER/CHIROPRACTOR
Name	:	TIMOTHY J LEFFERT
Credential	:	DC
Telephone Number	:	203-466-1769

Provider Enumeration Date	:	11/04/2011
Last Update Date	:	11/18/2014

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