Palmisano, Glen Michael

Palmisano, Glen Michael is an sole proprietor health care provider with primary practice located at 162 South St Suite 1, Bristol CT 06010-6505. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Rehabilitation. Chiropractic Providers / Rehabilitation is his primary health care specialty. Palmisano, Glen Michael can be contacted via phone (860) 585-9797.

Contact Information

Primary practice address
162 South St Suite 1 Bristol CT 06010-6505
Phone: (860) 585-9797
Fax: (860) 589-9002
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH5911 Florida
Chiropractic Providers / Chiropractor 111N00000X 000681 Connecticut
Chiropractic Providers / Rehabilitation 111NR0400X 000681 Connecticut

Profile Details

NPI number 1255360855
LBN Legal business name Palmisano, Glen Michael
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2006
Last updated Oct 29th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255360855 NPPES
Connecticut Other 793437 CONNECTICARE PROVIDER ID
Connecticut Other 050000681CT01 CONNECTICARE PROVIDER ID

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