Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 652 | CT |
NPI | 1013908029 |
---|---|
Provider Name | Dr. Peter Szynkowicz |
First Address | Hebron, CT 06248-0056 |
Second Address | Hebron, CT 06248-0056 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2005 |
Last Update Date | 10/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
004083656 | (05) | CT |
050000652CT01 | ANTHEM BLUE CROSS BLUE SH (01) | CT |
070491 | UNITED HEALTH CARE ACN (01) | CT |
391886617 | TRIAD HEALTHCARE (01) | CT |
4404211 | UNITED HEALTH CARE (01) | CT |
489605 | US HEALTH CARE (01) | CT |
507474 | AETNA (01) | CT |
742798 | CONNECTICARE (01) | CT |
OR1143 | LANDMARK HEALTH CARE (01) | CT |
TOS023 | OXFORD (01) | CT |