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NPI Code Detail

MEDICARE: LEVINE CHIROPRACTIC CENTER, LLC

MEDICARE: LEVINE CHIROPRACTIC CENTER, LLC
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
1111N00000XChiropractor00851CT

General Provider Information

NPI Number : 1750580650
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEVINE CHIROPRACTIC CENTER, LLC
Provider Business Mailing Address
First Line : 24 CHURCH ST
Second Line :
City : TORRINGTON
State : CT
Zip : 06790-0000
Country : US
Telephone Number : 860-489-3663
Fax Number : 860-489-3738
Provider Business Practice Location Address
First Line : 24 CHURCH ST
Second Line :
City : TORRINGTON
State : CT
Zip : 06790-0000
Country : US
Telephone Number : 860-489-3663
Fax Number : 860-489-3738
Authorized Official
Title or Position : OWNER
Name : DR. MARK R LEVINE
Credential : D.C.
Telephone Number : 860-489-3663
Provider Enumeration Date : 07/12/2007
Last Update Date : 06/03/2011

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Directions to “LEVINE CHIROPRACTIC CENTER, LLC ” Practice Location

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