Provider Demographics
NPI:1992864078
Name:KAPLOWITZ, JAN G (DC)
Entity Type:Individual
Prefix:DR
First Name:JAN
Middle Name:G
Last Name:KAPLOWITZ
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 1:40 E PUTNAM AVE
Mailing Address - Street 2:
Mailing Address - City:COS COB
Mailing Address - State:CT
Mailing Address - Zip Code:06807-2600
Mailing Address - Country:US
Mailing Address - Phone:203-618-0015
Mailing Address - Fax:203-618-0011
Practice Address - Street 1:40 E PUTNAM AVE
Practice Address - Street 2:
Practice Address - City:COS COB
Practice Address - State:CT
Practice Address - Zip Code:06807-2600
Practice Address - Country:US
Practice Address - Phone:203-618-0015
Practice Address - Fax:203-618-0011
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT290111N00000X
NY010502111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT350001212Medicare ID - Type Unspecified