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DR. JACOB RILEY CALDER
>> Chiropractor >> Chiropractic ProvidersRegistrant NPI Number: 1194365239
Individual Registrant:DR. JACOB RILEY CALDER
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
71 BRADLEY RD UNIT 5 MADISON, CT 06443-2662 US
Tel: 203-245-2639 Fax: --
Tel: 203-245-2639 Fax: --
Contact information for business:
71 BRADLEY RD UNIT 5 MADISON, CT 06443-2662 US
Tel: 203-245-2639 Fax: --
Tel: 203-245-2639 Fax: --
Registration Information:
NPI: 1194365239
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractic Providers Chiropractor | CT | 2179 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
