SHORELINE SPINE & SPORT, LLC (NPI# 1568884807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568884807 |
| Entity Type | Organization |
| Organization Name | SHORELINE SPINE & SPORT, LLC |
| Practice Address |
47 Clapboard Hill Rd Ste 1 Guilford CT 06437-2282 |
| Practice Telephone | 2034532001 |
| Practice Fax Number | 2034532010 |
| Mailing Telephone | 2034532001 |
| Mailing Fax Number | 2034532010 |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2014-01-27 |
| Authorized Official Name | DR. ALFRED BORGES FURTADO (OWNER/DOCTOR OF CHIROPRACTIC) |
| Authorized Official Telephone | 2034532001 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 001647 | CT | Chiropractic Providers |
| Street Address |
47 CLAPBOARD HILL RD STE 1 |
| City | GUILFORD |
| State | CT |
| Zip Code | 06437-2282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275012148 | Guilford Holistic Health Practitioners, LLC | Clinic/Center | 5 Durham Rd Ste B6, Guilford, CT 06437 | 2018-08-10 |
| 1043738594 | Stephanie Rose Weady | Physical Therapist | 753 Boston Post Road Suite 101, Guilford, CT 06437 | 2017-09-05 |
| 1104221019 | Holistic Psychotherapy | Social Worker | 35 Boston St., Guilford, CT 06437 | 2014-11-04 |
| 1083030332 | Frank Edward West | Marriage & Family Therapist | 17 E. River Rd, Guilford, CT 06437 | 2014-03-11 |
| 1063845188 | Stephanie Gerrish O'sullivan | Health Educator | 623 Village Walk, Guilford, CT 06437 | 2013-08-13 |
| 1205279247 | Jared Macklin | Internal Medicine | 800 Boston Post Rd Ste 201, Guilford, CT 06437 | 2013-04-09 |
| 1821364019 | Elan Gorshein | Internal Medicine | Yale-new Haven Shoreline Medical Center, 111 Goose Lane, Suite 1300, Guilford, CT 06437 | 2012-04-01 |
| 1740411396 | Denise Lewis Roberts | Social Worker | 2 Guile Road, Guilford, CT 06437 | 2009-07-30 |
| 1487882437 | Bryce E Mcmanus | Chiropractor | 133 State Street, Guilford, CT 06437 | 2009-06-29 |
| 1215139654 | Eleanor D Weissberg | Pediatrics | 64 Prospect Ave, Guilford, CT 06437 | 2007-06-05 |
| Find all providers in zip 06437 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437507852 | Malton Ventures, LLC | Chiropractor | 705 Boston Post Rd Ste C8, Guilford, CT 06437-2732 | 2016-05-26 |
| 1487882437 | Bryce E Mcmanus | Chiropractor | 133 State Street, Guilford, CT 06437 | 2009-06-29 |
| 1659578342 | Timothy Malton | Chiropractor | 5 Durham Rd Ste A3, Guilford, CT 06437-2076 | 2007-06-27 |
| 1750455481 | Manal Mena | Chiropractor | 728 Long Hill, Guilford, CT 06437 | 2006-11-17 |
| 1184721805 | Karina Rosana Altieri | Chiropractor | 294 Church St, Guilford, CT 06437-2404 | 2006-09-17 |
| 1881601342 | Robert S. Skarzynski | Chiropractor | 63 Church St, Guilford, CT 06437-2604 | 2006-08-01 |
| 1427075167 | Paul E Heeren | Chiropractor | 2514 Boston Post Rd, Ste 7c, Guilford, CT 06437 | 2006-07-17 |
| 1942226402 | Christopher M Coulis | Chiropractor | 2415 Boston Post Rd, Unit 11, Guilford, CT 06437-4348 | 2006-07-15 |
| 1346214046 | Barbara V Thomas | Chiropractor | 1568 Route 80, Guilford, CT 06437 | 2006-02-17 |
| 1144851171 | A Holistic Wellness Boutique,llc | Chiropractor | 294 Church St, Guilford, CT 06437-2404 | 2020-01-29 |
| Find all providers in GUILFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.