Provider Demographics
NPI:1144311341
Name:GENTLE HANDS CHIROPRACTIC,L.L.C
Entity type:Organization
Organization Name:GENTLE HANDS CHIROPRACTIC,L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KARINA
Authorized Official - Middle Name:ROSANA
Authorized Official - Last Name:ALTIERI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:203-738-0040
Mailing Address - Street 1:294 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-2404
Mailing Address - Country:US
Mailing Address - Phone:203-738-0040
Mailing Address - Fax:203-738-0041
Practice Address - Street 1:294 CHURCH ST
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-2404
Practice Address - Country:US
Practice Address - Phone:203-738-0040
Practice Address - Fax:203-738-0041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001566111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTC03333OtherGROUP MEDICARE NUMBER
CT1184721805OtherNPI PROVIDER NUMBER
CTY33279Medicare UPIN