Provider Demographics
NPI:1700207107
Name:PARADIGM CHIROPRACTIC AND FUNCTIONAL MEDICINE, INC
Entity Type:Organization
Organization Name:PARADIGM CHIROPRACTIC AND FUNCTIONAL MEDICINE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NICK
Authorized Official - Middle Name:
Authorized Official - Last Name:KARAPASAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:860-646-8632
Mailing Address - Street 1:483 MIDDLE TPKE W
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06040-3863
Mailing Address - Country:US
Mailing Address - Phone:860-646-8632
Mailing Address - Fax:860-645-1669
Practice Address - Street 1:483 MIDDLE TPKE W STE 101
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-3864
Practice Address - Country:US
Practice Address - Phone:860-646-8632
Practice Address - Fax:860-645-1669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-02
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1796111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty