KOBY CHIRO PLLC (NPI# 1386295848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386295848 |
| Entity Type | Organization |
| Organization Name | KOBY CHIRO PLLC |
| Other Organization Name | APPLE VALLEY CHIROPRACTIC AND WELLNESS CENTER |
| Practice Address |
1095 West St Unit 1 Southington CT 06489-1023 |
| Practice Telephone | 8606201705 |
| Practice Fax Number | 8606201746 |
| Mailing Telephone | 8606201705 |
| Mailing Fax Number | 8606201746 |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-10-08 |
| Authorized Official Name | DR. KOBY D FOWLER (OWNER/DOCTOR) |
| Authorized Official Telephone | 8606201705 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Apple Valley Chiropractic and Wellness Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Koby Chiro Pllc | 1095 West St, Unit 1, Southington, CT 06489 |
| Street Address |
1095 WEST ST UNIT 1 |
| City | SOUTHINGTON |
| State | CT |
| Zip Code | 06489-1023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104329887 | Koby Douglas Fowler | Chiropractor | 1095 West St Unit 1, Southington, CT 06489 | 2018-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467087783 | Shankar Panwar | Counselor | K 11, 1783 Meriden Waterbury Tpke, Southington, CT 06489 | 2020-03-06 |
| 1235771056 | Kathleen Rebecca Mckinney | Music Therapist | 196 Queen St., Southington, CT 06489 | 2019-10-14 |
| 1336700103 | Julie Amanda Nichols | Behavioral Analyst | 1842 Meriden-waterbury Turnpike, Southington, CT 06489 | 2019-06-24 |
| 1396238960 | Kriston Ronalter | Physician Assistant | 775 Queen Street, Southington, CT 06489 | 2018-06-08 |
| 1366933582 | Cj's Counseling, LLC | Counselor | 17 Meriden Ave Ste 1a, Southington, CT 06489 | 2018-05-23 |
| 1447763131 | Samreen, LLC | Clinic/Center | 775 Queen St, Suite 2, Southington, CT 06489 | 2017-11-16 |
| 1902320724 | Michael Petit | Physical Therapist | 98 Main Street, 202, Southington, CT 06489 | 2017-08-02 |
| 1457712127 | Leslie Mclaughlin | Speech-Language Pathologist | 400 Flanders Rd, Southington, CT 06489 | 2016-03-09 |
| 1306219159 | Breanne Schnepf-hanbury | Counselor | 26 N Main St Ste 2b, Southington, CT 06489 | 2015-11-02 |
| 1770965402 | Emily Ehrgott | Music Therapist | 1678 Meriden Waterbury Turnpike, Southington, CT 06489 | 2015-06-18 |
| Find all providers in zip 06489 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104329887 | Koby Douglas Fowler | Chiropractor | 1095 West St Unit 1, Southington, CT 06489 | 2018-03-09 |
| 1316061294 | Donald F Salomone | Chiropractor | 474 N Main St, Southington, CT 06489-2520 | 2007-03-18 |
| 1073502134 | Stacey Kim Raya | Chiropractor | 200 Queen St, Southington, CT 06489-1901 | 2005-10-20 |
| 1548869928 | Hasan Adnan Awan | Chiropractor | 200 Queen St, Southington, CT 06489-1901 | 2020-10-18 |
| 1790306694 | Saxon Kane Ireland | Chiropractor | 200 Queen St, Southington, CT 06489-1901 | 2020-05-01 |
| 1396142204 | Pion Chiropractic LLC | Chiropractor | 340 N Main St, Southington, CT 06489-2529 | 2014-11-21 |
| 1770998643 | Christina Ford | Chiropractor | 1850 West St, Southington, CT 06489 | 2014-06-30 |
| 1093017527 | Jeana Forant | Chiropractor | 200 Queen St, Southington, CT 06489-1901 | 2010-12-05 |
| 1285866228 | Southington Chiropractic Center, P.C. | Chiropractor | 474 N Main St, Southington, CT 06489-2542 | 2009-08-09 |
| 1043486947 | Advanced Back Center | Chiropractor | 200 Queen St, Southington, CT 06489-1901 | 2008-05-01 |
| Find all providers in SOUTHINGTON | ||||
| City | SOUTHINGTON |
| Zip Code | 06489 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.