Provider Demographics
NPI:1871938829
Name:BARONE, ALICE J (DC)
Entity type:Individual
Prefix:DR
First Name:ALICE
Middle Name:J
Last Name:BARONE
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 1:4761 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06606-1801
Mailing Address - Country:US
Mailing Address - Phone:203-331-8857
Mailing Address - Fax:203-374-8548
Practice Address - Street 1:4761 MAIN ST
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06606-1801
Practice Address - Country:US
Practice Address - Phone:203-331-8857
Practice Address - Fax:203-374-8548
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-03
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000820111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty