Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 166 | CT |
NPI | 1528069705 |
---|---|
Provider Name | Dr. Lee Steven Kaplan |
First Address | New Milford, CT 06776-2327 |
Second Address | New Milford, CT 06776-2327 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T23426 | (02) | CT |