1437278579 NPI number — CHRISTOPHER E. DEMBSKI, D.C., CHIROPRACTIC PHYSICIAN P.C.

Table of content: (NPI 1437278579)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437278579 NPI number — CHRISTOPHER E. DEMBSKI, D.C., CHIROPRACTIC PHYSICIAN P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHRISTOPHER E. DEMBSKI, D.C., CHIROPRACTIC PHYSICIAN P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437278579
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/21/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
760 MAIN ST S
Provider Second Line Business Mailing Address:
SUITE E
Provider Business Mailing Address City Name:
SOUTHBURY
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06488-4248
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-267-3880
Provider Business Mailing Address Fax Number:
203-267-3882

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
760 MAIN ST S
Provider Second Line Business Practice Location Address:
SUITE E
Provider Business Practice Location Address City Name:
SOUTHBURY
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06488-4248
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-267-3880
Provider Business Practice Location Address Fax Number:
203-267-3882
Provider Enumeration Date:
03/28/2007

Additional Information

Authorized Official

Authorized Official Last Name:
DEMBSKI
Authorized Official First Name:
CHRISTOPHER
Authorized Official Middle Name:
EDWARD
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
203-267-3880

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  1251 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 050001251CT04 . This is a "ANTHEM" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: CT1251B . This is a "LANDMARK" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: P2521537 . This is a "TRIAD" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: P00350903 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 1225640 . This is a "AETNA" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 001251 . This is a "CONNECTICARE" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".




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