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Contact Information

ADVANCED BACK CENTER
200 QUEEN ST
SOUTHINGTON, CT06489-1901
 Phone: 860-621-2225
 Fax: 860-621-2868
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ADVANCED BACK CENTER · (Female)

NPI # 1043486947
Status Active
Credentials
Entity Individual
Enumeration date 05/01/2008
Last updated 05/01/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 000938
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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