Organization
SOUTH STREET CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA MARY PORTO D.C. (PARTNER)
(203) 794-1049
Entity
Organization
Contact information
Practice address
15 SOUTH ST, DANBURY, CT 06810-8147
(203) 794-1049
(203) 730-9721
Mailing address
15 SOUTH ST, DANBURY, CT 06810-8147
(203) 794-1049
(203) 730-9721
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
487
CT
111N00000X
Chiropractor
503
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50SOUTHSTCT01
ANTHEM BLUE CROSS/BLUE SH
CT
Enumeration date
02/21/2008
Last updated
07/24/2012
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