Provider Demographics
NPI:1932142890
Name:CLUKEY, THOMAS FRANCIS (DC)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:FRANCIS
Last Name:CLUKEY
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 1:28 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-3108
Mailing Address - Country:US
Mailing Address - Phone:203-271-3296
Mailing Address - Fax:203-439-0261
Practice Address - Street 1:28 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-3108
Practice Address - Country:US
Practice Address - Phone:203-271-3296
Practice Address - Fax:203-439-0261
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTCT277111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTCT00277OtherLANDMARK
CTP1299614OtherOXFORD HEALTH PLANS
CT2141351OtherAETNA HEALTH PLANS
CT353277OtherCONNECTICARE
CT050000277CT02OtherANTHEM BC/BS
CT050000277CT02OtherANTHEM BC/BS