Individual
DR. THEODORE JOHN CZEPIEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
448 ELM ST, WEST SPRINGFIELD, MA 01089-2624
(413) 732-0707
(413) 746-9393
Mailing address
448 ELM ST, WEST SPRINGFIELD, MA 01089-2624
(413) 732-0707
(413) 746-9393
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
704
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0092323-002
CIGNA
—
01
—
11158146
CAQH
—
01
—
210189
ACN
—
01
—
44-04304
UNITED
—
01
—
60302
FIRST HEALTH
—
01
—
759281
TUFTS
—
01
—
9063067
PHCS
—
01
—
PVN2110353
AETNA
—
Enumeration date
08/23/2005
Last updated
07/08/2007
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