Miniaci, Keith A
Miniaci, Keith A is an sole proprietor health care provider with primary practice located at 53 High St , East Haven CT 06512-2315. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Miniaci, Keith A can be contacted via phone (203) 469-5210.Contact Information
Primary practice address
53 High St
East Haven CT 06512-2315
Phone: (203) 469-5210
Fax: (203) 468-8598
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 000410 | Connecticut |
Profile Details
| NPI number | 1114029303 |
|---|---|
| LBN Legal business name | Miniaci, Keith A |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Oct 4th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114029303 | NPPES |
| Connecticut | MEDICAID | 004128725 | |
| Connecticut | Other | 050000410CT05 |
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