Prohealth Chiropractic Center, Llc

LBN: Prohealth Chiropractic Center, Llc
Prohealth Chiropractic Center, Llc is an health care organization with primary practice located at 1127 Tolland Turnpike Suite 102, Manchester CT 06042. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Prohealth Chiropractic Center, Llc can be contacted via phone (860) 432-7432, or through Sousa, Jason Allen via phone (860) 432-7432.

Contact Information

Primary practice address
1127 Tolland Turnpike Suite 102 Manchester CT 06042
Fax: (860) 432-7432
Website:
Authorized official contact:
Name: Sousa, Jason Allen Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 001726 Connecticut
Chiropractic Providers / Chiropractor 111N00000X 001722 Connecticut

Profile Details

NPI number 1306022496
LBN Legal business name Prohealth Chiropractic Center, Llc
DBA Doing business as
Authorized official Sousa, Jason Allen Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2008
Last updated Jul 16th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306022496 NPPES
Other C03898 GROUP MEDICARE
MEDICAID 432191999 GROUP MEDICARE
Other ME1910 GROUP MEDICARE

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