Individual
DR. JOHN LOUIS MORMILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
234 MAIN ST, PORTLAND, CT 06480-1861
(860) 342-7277
(860) 342-7281
Mailing address
234 MAIN ST, PORTLAND, CT 06480-1861
(860) 342-7277
(860) 342-7281
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
540
CT
111N00000X
Chiropractor
CH0004991
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050000540CT03
ANTHEM
CT
01
—
061632199-01
PRISM
CT
01
—
2V0679
HEALTHNET
CT
01
—
4212157
AETNA
CT
01
—
CT00540
LANDMARK
—
01
—
NHS338
OXFORD
CT
Enumeration date
08/16/2005
Last updated
03/24/2008
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