Provider Demographics
NPI:1023241940
Name:CHIROPRACTICAL SOLUTIONS LLC
Entity type:Organization
Organization Name:CHIROPRACTICAL SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:M
Authorized Official - Last Name:CANNATTA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:860-608-2841
Mailing Address - Street 1:134 WESTBROOK RD
Mailing Address - Street 2:
Mailing Address - City:DEEP RIVER
Mailing Address - State:CT
Mailing Address - Zip Code:06417-1536
Mailing Address - Country:US
Mailing Address - Phone:860-608-2841
Mailing Address - Fax:866-815-5648
Practice Address - Street 1:134 WESTBROOK RD
Practice Address - Street 2:
Practice Address - City:DEEP RIVER
Practice Address - State:CT
Practice Address - Zip Code:06417-1536
Practice Address - Country:US
Practice Address - Phone:860-608-2841
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-26
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001662111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT350001453Medicare PIN