Organization
MICHAUD CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN JAMES MICHAUD D.C. (CHIROPRACTIC PHYSICIAN)
(860) 533-0094
Entity
Organization
Contact information
Practice address
112 SPENCER ST, SUITE 1B, MANCHESTER, CT 06040-4601
(860) 533-0094
(860) 533-0122
Mailing address
112 SPENCER ST, SUITE 1B, MANCHESTER, CT 06040-4601
(860) 533-0094
(860) 533-0122
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001781
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12336191
CAQH
CT
Enumeration date
02/13/2012
Last updated
02/13/2012
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