Provider Demographics
NPI:1902013071
Name:PRETE CHIROPRACTIC CENTER LLC
Entity Type:Organization
Organization Name:PRETE CHIROPRACTIC CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:PRETE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:860-349-0639
Mailing Address - Street 1:16 MAIN ST
Mailing Address - Street 2:#302
Mailing Address - City:DURHAM
Mailing Address - State:CT
Mailing Address - Zip Code:06422-2116
Mailing Address - Country:US
Mailing Address - Phone:860-349-0639
Mailing Address - Fax:860-349-0519
Practice Address - Street 1:16 MAIN ST
Practice Address - Street 2:#302
Practice Address - City:DURHAM
Practice Address - State:CT
Practice Address - Zip Code:06422-2116
Practice Address - Country:US
Practice Address - Phone:860-349-0639
Practice Address - Fax:860-349-0519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001181111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT050001181CT06OtherANTHEM BCBS
CT3674658OtherAETNA PROVIDER
CT4112710Medicaid
CT6621360OtherCIGNA
CT667598OtherACN PROVIDER
CT2V4957OtherHEALTHNET
CTP2106341OtherOXFORD