Provider Demographics
NPI:1083778740
Name:SLOVIN, BRENDA C (DC)
Entity Type:Individual
Prefix:DR
First Name:BRENDA
Middle Name:C
Last Name:SLOVIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-3530
Mailing Address - Country:US
Mailing Address - Phone:203-840-0000
Mailing Address - Fax:203-840-0011
Practice Address - Street 1:205 MAIN AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-3530
Practice Address - Country:US
Practice Address - Phone:203-840-0000
Practice Address - Fax:203-840-0011
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001463111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTU90573Medicare UPIN
CTC02874Medicare PIN