Provider Demographics
NPI:1710426895
Name:LITCHFIELD FAMILY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:LITCHFIELD FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:L
Authorized Official - Last Name:VARHOLAK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:860-361-6433
Mailing Address - Street 1:82A MEADOW ST
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06759-3543
Mailing Address - Country:US
Mailing Address - Phone:860-361-6433
Mailing Address - Fax:
Practice Address - Street 1:82A MEADOW ST
Practice Address - Street 2:
Practice Address - City:LITCHFIELD
Practice Address - State:CT
Practice Address - Zip Code:06759-3543
Practice Address - Country:US
Practice Address - Phone:860-361-6433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty