Organization Active NPI

Connecticut Center for Integrated Healthcare LLC

  • Sports Physician Chiropractor
  • Brookfield, CT
National Provider Identifier
1447433123
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
1337 Issued in CT
Legal business name
CONNECTICUT CENTER FOR INTEGRATED HEALTHCARE LLC
Practice address
246 Federal Rd Ste C35
Brookfield, CT 06804-2650
Phone
(203) 740-2739
Fax
(203) 740-0124
NPI assigned
Dec 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Craig T Sollose, DC
Title
Chiropractor/Owner
Phone
(203) 740-2739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 1337 CT Primary

Addresses

Primary practice location

246 Federal Rd Ste C35
Brookfield, CT 06804-2650

Mailing address

246 Federal Rd Ste C35
Brookfield, CT 06804-2650
Phone (203) 740-2739

National Provider Directory

National Provider Directory

Locations

246 Federal Rd
Ste C35
Brookfield, CT 06804
Phone (203) 740-2739

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1447433123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 FEDERAL RD STE C35",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042650",
            "telephone_number": "203-740-2739",
            "fax_number": "203-740-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 FEDERAL RD STE C35",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042650",
            "telephone_number": "203-740-2739",
            "fax_number": "203-740-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT CENTER FOR INTEGRATED HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "SOLLOSE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "203-740-2739",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CT",
            "license": "1337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.