Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 915 | CT |
NPI | 1396076832 |
---|---|
Provider Name | Dr. Nancy Elaine Goldschlager |
First Address | Westport, CT 06880-6020 |
Second Address | Westport, CT 06880-6020 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2010 |
Last Update Date | 22/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
915 | CT LICENSE NUMBER (01) | CT |