DR. MITCHELL GRAHAM (NPI# 1962903492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962903492 |
Entity Type | Individual |
Full Name | DR. MITCHELL GRAHAM |
Credential | DC |
Practice Address |
121 Talcott Rd West Hartford CT 06110 |
Mailing Address |
121 Talcott Rd West Hartford CT 06110-1239 |
Practice Telephone | 8606067051 |
Mailing Telephone | 8606067051 |
Enumeration Date | 2018-02-21 |
Last Update Date | 2018-10-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2080 | CT | Chiropractic Providers |
Address | Telephone Number | Fax Number |
---|---|---|
185 Main St, East Haven, CT 065123032 | 2034661111 | 2034689684 |
Street Address |
121 TALCOTT RD |
City | WEST HARTFORD |
State | CT |
Zip Code | 06110 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942785423 | Spine By Design Inc | Chiropractor | 121 Talcott Rd, West Hartford, CT 06110-1239 | 2018-10-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306467030 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1500 New Britain Ave, H216, West Hartford, CT 06110 | 2020-05-05 |
1417302829 | Kaitlyn Roggi | Behavioral Analyst | 101 South St Fl 2, West Hartford, CT 06110 | 2016-05-04 |
1487036802 | Nino Gigauri | Internal Medicine | 114 Woodlawn St, Hartford, CT 06110 | 2015-06-22 |
1093082174 | Shital Makati | Pharmacist | 940 South Quaker Lane, West Hartford, CT 06110 | 2011-11-17 |
1376842948 | Kenneth Reeve | Pediatrics | 1459a New Britain Ave, West Hartford, CT 06110 | 2011-03-22 |
1225368913 | Jenny Alzate Lpc LLC | Counselor | 78 Cambridge St, West Hartford, CT 06110 | 2010-01-04 |
1821200957 | Advocate Community Care Agency, Inc. | Home Delivered Meals | 1086 New Britain Ave, West Hartford, CT 06110 | 2007-05-03 |
1730257155 | Catherine Ann Staunton | Physical Therapist | 1350 Chapel Street, New Haven, CT 06110 | 2006-12-01 |
1689750002 | Pamela M Matuszewski | Optometrist | 1445 New Britain Ave, W Hartford, CT 06110 | 2006-10-27 |
1487624854 | Patricia Black | Physical Therapist | 445 S. Main Street, Eastern Rehablitation Network, West Hartford, CT 06110 | 2006-01-26 |
Find all providers in zip 06110 |
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 |
---|---|---|---|---|
1275187833 | Kena Aiden Mcdermott | Chiropractor | 1216 Farmington Ave Ste 304, West Hartford, CT 06107-2673 | 2019-07-31 |
1861988917 | Victoria Brooks Leefe Chamberlin | Chiropractor | 836 Farmington Ave Ste 211, West Hartford, CT 06119-1544 | 2018-07-02 |
1538339619 | West Hartford Chiropractic LLC | Chiropractor | 345 N Main St Ste 322, West Hartford, CT 06117-2508 | 2008-03-05 |
1093842742 | Mendelson Chiropractic LLC Dba Essential Health | Chiropractor | 74 Park Road, West Hartford, CT 06119 | 2007-02-28 |
1396884938 | J Richard Araya | Chiropractor | 39 Talcott Rd, West Hartford, CT 06110-1227 | 2007-02-06 |
1245320050 | Karen Lee Rubinow | Chiropractor | 1059 Farmington Ave, West Hartford, CT 06107-2112 | 2006-10-13 |
1588762801 | Ronald Frederick Clark | Chiropractor | 5 Newington Road, West Hartford, CT 06110-2310 | 2006-09-20 |
1386742708 | Robert Douglas Claflin | Chiropractor | 29 North Main Street, West Hartford, CT 06107-1933 | 2006-09-20 |
1891736500 | Richard Duenas | Chiropractor | 557 Prospect Ave, Third Floor, West Hartford, CT 06105-2922 | 2006-06-10 |
1407835622 | Christopher Robert Chase | Chiropractor | 1032 Boulevard, Suite 1022, West Hartford, CT 06119-1801 | 2006-01-16 |
Find all providers in WEST HARTFORD |
City | WEST HARTFORD |
Zip Code | 06110 |
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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.