Provider Demographics
NPI:1942429972
Name:MERRITT CHIROPRACTIC CENTER L.L.C.
Entity type:Organization
Organization Name:MERRITT CHIROPRACTIC CENTER L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:FELICE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLCIMASCOLO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:203-847-7999
Mailing Address - Street 1:430 MAIN AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-7004
Mailing Address - Country:US
Mailing Address - Phone:203-847-7999
Mailing Address - Fax:
Practice Address - Street 1:430 MAIN AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-7004
Practice Address - Country:US
Practice Address - Phone:203-847-7999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty