Provider Demographics
NPI:1003632076
Name:BERGLUND CHIROPRACTIC & WELLNESS, LLC
Entity type:Organization
Organization Name:BERGLUND CHIROPRACTIC & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:BERGLUND
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:203-978-1100
Mailing Address - Street 1:66 GLENBROOK RD STE 100
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-8402
Mailing Address - Country:US
Mailing Address - Phone:203-978-1100
Mailing Address - Fax:203-967-7226
Practice Address - Street 1:66 GLENBROOK RD STE 100
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-8402
Practice Address - Country:US
Practice Address - Phone:203-978-1100
Practice Address - Fax:203-967-7226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty