Provider Demographics
NPI:1518933506
Name:SCLAFANI, LOUIS DANIEL (DC)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:DANIEL
Last Name:SCLAFANI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 GLOVER AVE
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06470-2147
Mailing Address - Country:US
Mailing Address - Phone:203-426-9729
Mailing Address - Fax:203-778-0591
Practice Address - Street 1:132 FEDERAL RD
Practice Address - Street 2:SUITE 103
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06811-4047
Practice Address - Country:US
Practice Address - Phone:203-778-2225
Practice Address - Fax:203-778-0591
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTCT000828111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTT89690Medicare UPIN
CT350000641Medicare PIN