Provider Demographics
NPI:1255899845
Name:SHIPPER, NADIA (DC)
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:
Last Name:SHIPPER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:NADIA
Other - Middle Name:
Other - Last Name:SKORINKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14 WENDELL COMRIE RD
Mailing Address - Street 2:
Mailing Address - City:LEDYARD
Mailing Address - State:CT
Mailing Address - Zip Code:06339-2015
Mailing Address - Country:US
Mailing Address - Phone:610-417-0670
Mailing Address - Fax:
Practice Address - Street 1:1353 GOLD STAR HWY STE 106
Practice Address - Street 2:
Practice Address - City:GROTON
Practice Address - State:CT
Practice Address - Zip Code:06340-2755
Practice Address - Country:US
Practice Address - Phone:860-446-9700
Practice Address - Fax:860-326-5728
Is Sole Proprietor?:No
Enumeration Date:2019-03-04
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2140111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor