Provider Demographics
NPI:1164155792
Name:RUDZINSKI, EMILYANN EVE (DC)
Entity Type:Individual
Prefix:DR
First Name:EMILYANN
Middle Name:EVE
Last Name:RUDZINSKI
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 1:523 PASAY RD
Mailing Address - Street 2:
Mailing Address - City:NORTH GROSVENORDALE
Mailing Address - State:CT
Mailing Address - Zip Code:06255-1237
Mailing Address - Country:US
Mailing Address - Phone:860-481-1533
Mailing Address - Fax:
Practice Address - Street 1:352 BOSTON TPKE
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:MA
Practice Address - Zip Code:01545-3873
Practice Address - Country:US
Practice Address - Phone:508-425-3304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-01
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA624111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor