Provider Demographics
NPI:1225474463
Name:FIVE SISTERS LAUGHING LLC
Entity Type:Organization
Organization Name:FIVE SISTERS LAUGHING LLC
Other - Org Name:THRIVE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATEHLEEN
Authorized Official - Middle Name:P
Authorized Official - Last Name:HAUSER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:203-387-5015
Mailing Address - Street 1:260 AMITY RD
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:CT
Mailing Address - Zip Code:06525-2222
Mailing Address - Country:US
Mailing Address - Phone:203-387-5015
Mailing Address - Fax:203-387-3500
Practice Address - Street 1:260 AMITY RD
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:CT
Practice Address - Zip Code:06525-2222
Practice Address - Country:US
Practice Address - Phone:203-387-5015
Practice Address - Fax:203-387-3500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-15
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty