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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

WALTER E HENDERSON JR, D.C.
1101 FARMINGTON AVE
BERLIN, CT06037-2241
 Phone: 860-828-8220
 Fax: 860-828-8232
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for WALTER E HENDERSON JR · (Male)

NPI Number 1801945548
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 01/10/2007
Last updated 09/20/2016 - About 2 weeks ago
Sole proprietor 1 Yes
Identifiers
CT License # 001443
CT Medicare (Unspecified) 350001201
CT Medicare UPIN U90686
CT Other 47-0862263 AETNA
CT Other 050001443CT01 BLUE CROSS BLUE SHIELD
CT Other 47-0862263 CIGNA
CT Other P2811446 OXFORD HEALTH
CT Other 47-0862263 UNITED HEALTH CARE
Hospital affiliation(s) n/a
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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