Provider Demographics
NPI:1730325028
Name:ATLAS, BETH RUBINSTEIN (DC)
Entity type:Individual
Prefix:DR
First Name:BETH
Middle Name:RUBINSTEIN
Last Name:ATLAS
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 1:9 N SASCO CMN
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-4181
Mailing Address - Country:US
Mailing Address - Phone:203-256-1821
Mailing Address - Fax:
Practice Address - Street 1:9 N SASCO CMN
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-4181
Practice Address - Country:US
Practice Address - Phone:203-256-1821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-17
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000993111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor