Provider Demographics
NPI:1205968716
Name:ROY DAVIS, SYLVIE (DC)
Entity type:Individual
Prefix:DR
First Name:SYLVIE
Middle Name:
Last Name:ROY DAVIS
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 1:113 LITCHFIELD TPKE
Mailing Address - Street 2:
Mailing Address - City:BETHANY
Mailing Address - State:CT
Mailing Address - Zip Code:06524-3540
Mailing Address - Country:US
Mailing Address - Phone:203-393-3271
Mailing Address - Fax:203-393-2979
Practice Address - Street 1:113 LITCHFIELD TPKE
Practice Address - Street 2:
Practice Address - City:BETHANY
Practice Address - State:CT
Practice Address - Zip Code:06524-3540
Practice Address - Country:US
Practice Address - Phone:203-393-3271
Practice Address - Fax:203-393-2979
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000955111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor