Provider Demographics
NPI:1568487643
Name:SCHIOPPO, PETER D (DC)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:D
Last Name:SCHIOPPO
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 1:633 ORANGE ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-3824
Mailing Address - Country:US
Mailing Address - Phone:203-562-4051
Mailing Address - Fax:203-865-7567
Practice Address - Street 1:633 ORANGE ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-3824
Practice Address - Country:US
Practice Address - Phone:203-562-4051
Practice Address - Fax:203-865-7567
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT485111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT050000485CT01OtherANTHEM BCBS
CTC01484Medicare PIN