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Contact Information

ADVANCED CHIROPRACTIC WELLNESS CENTER, LLC
16 LINCOLN AVE
PAWCATUCK, CT06379-1856
 Phone: 860-514-5148
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ADVANCED CHIROPRACTIC WELLNESS CENTER LLC · (Female)

NPI Number 1023291804
Status Active
Credentials
Entity Individual
Enumeration date 12/14/2007
Last updated 12/14/2007 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 001268
  • CT Other 3756844 AETNA
  • CT Other 050001268CT02 ANTHEM BLUE CROSS
  • CT Other 950692 HEALTHNET
  • CT Other P2114470 OXFORD HEALTH
  • CT Other 4404366 UNITED HEALTHCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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