Provider Demographics
NPI:1467495937
Name:ALBINO, JAMES ARMAND (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ARMAND
Last Name:ALBINO
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 1:1052 CHASE PKWY
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06708-2942
Mailing Address - Country:US
Mailing Address - Phone:203-574-4400
Mailing Address - Fax:203-597-1620
Practice Address - Street 1:1052 CHASE PKWY
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06708-2942
Practice Address - Country:US
Practice Address - Phone:203-574-4400
Practice Address - Fax:203-597-1620
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1085111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTU48317Medicare UPIN