Provider Demographics
NPI:1639107782
Name:CHIROPRACTIC OFFICE OF ALINA RODRIGUEZ-CORREA
Entity Type:Organization
Organization Name:CHIROPRACTIC OFFICE OF ALINA RODRIGUEZ-CORREA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ-CORREA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:203-627-1828
Mailing Address - Street 1:850 N MAIN STREET EXT
Mailing Address - Street 2:BUILDING #2,SUITE 3A
Mailing Address - City:WALLINGFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06492-2400
Mailing Address - Country:US
Mailing Address - Phone:203-627-1828
Mailing Address - Fax:203-271-3814
Practice Address - Street 1:850 N MAIN STREET EXT
Practice Address - Street 2:BUILDING #2,SUITE 3A
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492-2400
Practice Address - Country:US
Practice Address - Phone:203-627-1828
Practice Address - Fax:203-271-3814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000902111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT662401OtherUNITED HEALTHCARE
COP3131503OtherOXFORD HEALTH PLAN
CT050000902CT10OtherANTHEM BS
CT763938OtherFIRST HEALTH/CCN
CT=========OtherAMERICAN SPECIALTY HEALTH
CT=========OtherBERKLEY ADMIN. OF CT,INC
CT050000902CT10OtherANTHEM BS
CT=========OtherFOCUS/CONCENTRA
CT763938OtherFIRST HEALTH/CCN