Individual
DR. DAVID MIKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., P.T., M.C.T.A.
Contact information
Practice address
202 STATE ST, NORTH HAVEN, CT 06473-2207
(203) 239-4274
(203) 239-4290
Mailing address
202 STATE ST, NORTH HAVEN, CT 06473-2207
(203) 239-4274
(203) 239-4290
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
001238
CT
225100000X
Physical Therapist
Primary
004290
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004168086 (PT)
—
CT
05
—
008050328 (CHIRO)
—
CT
Enumeration date
07/26/2005
Last updated
01/13/2016
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