Provider Demographics
NPI:1942901590
Name:LARCHER, CONNIE-SUE (DC)
Entity Type:Individual
Prefix:
First Name:CONNIE-SUE
Middle Name:
Last Name:LARCHER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:463 PARUM RD
Mailing Address - Street 2:
Mailing Address - City:COLCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06415-1938
Mailing Address - Country:US
Mailing Address - Phone:860-938-6648
Mailing Address - Fax:
Practice Address - Street 1:16 WALL ST
Practice Address - Street 2:
Practice Address - City:COLCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06415-1161
Practice Address - Country:US
Practice Address - Phone:860-537-2202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-10
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002101111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor