Individual
MR. MICHAEL P CROUCHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
21 GARFIELD ST, NEWINGTON, CT 06111-2834
(860) 665-0001
(860) 665-0003
Mailing address
21 GARFIELD ST, NEWINGTON, CT 06111-2834
(860) 665-0001
(860) 665-0003
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
748
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050000748CT01
BCBS
CT
Enumeration date
06/21/2006
Last updated
08/17/2009
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