National Provider Identifier Database

ADVANCED CHIROPRACTIC WELLNESS CENTER LLC
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


Contact Information

ADVANCED CHIROPRACTIC WELLNESS CENTER, LLC
16 LINCOLN AVE
PAWCATUCK, CT06379-1856
Phone: 860-514-5148
Fax:
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for ADVANCED CHIROPRACTIC WELLNESS CENTER, LLC

NPI Number 1023291804
Legal business name
LBN
ADVANCED CHIROPRACTIC WELLNESS CENTER, LLC
Authorized official JOHN FLAHERTY - (OWNER, DOCTOR OF CHIROPRACTIC)
Entity Organization
Organization subpart No
Enumeration date 12/14/2007
Last updated 12/14/2007 - About 18 years ago
Sole proprietor1 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

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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