Provider Demographics
NPI:1871545756
Name:STOROZUK, ANNA N (DC)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:N
Last Name:STOROZUK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 HIGH ST
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-3739
Mailing Address - Country:US
Mailing Address - Phone:413-536-0142
Mailing Address - Fax:413-536-0607
Practice Address - Street 1:850 HIGH ST
Practice Address - Street 2:SUITE 2B
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-3739
Practice Address - Country:US
Practice Address - Phone:413-536-0142
Practice Address - Fax:413-536-0607
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2391111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
0017945OtherNEIGHBORHOOD HEALTH PLANS
2316207OtherAETNA
796434OtherCONNECTICARE OF MA
610114OtherACN/HEALTH NEW ENGLAND
CT050002391MA01OtherBCBS OF CONNECTICUT
7322538OtherCIGNA
MA1613413Medicaid
4404340OtherUNITED HEALTHCARE
MA000000023053OtherBOSTON HEALTH NET
MAY36677OtherBCBS OF MASSACHUSETTS
MA002391OtherTUFTS HEALTHPLANS
MA351498OtherHARVARD PILGRIM
796434OtherCONNECTICARE OF MA