Provider Demographics
NPI:1861610560
Name:MARKOWICZ, PAWEL L (DC)
Entity type:Individual
Prefix:DR
First Name:PAWEL
Middle Name:L
Last Name:MARKOWICZ
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:SHAW CHIROPRACTIC GROUP
Mailing Address - Street 2:136 WEST MAIN STREET
Mailing Address - City:NEW BRITAINI
Mailing Address - State:CT
Mailing Address - Zip Code:06052-1315
Mailing Address - Country:US
Mailing Address - Phone:860-225-7429
Mailing Address - Fax:860-826-4762
Practice Address - Street 1:SHAW CHIROPRACTIC GROUP
Practice Address - Street 2:136 WEST MAIN STREET
Practice Address - City:NEW BRITAINI
Practice Address - State:CT
Practice Address - Zip Code:06052-1315
Practice Address - Country:US
Practice Address - Phone:860-225-7429
Practice Address - Fax:860-826-4762
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1982111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1144598699OtherNPI