ADVANCED CHIROPRACTIC WELLNESS CENTER, LLC; NPI #1023291804

Contact Information

ADVANCED CHIROPRACTIC WELLNESS CENTER, LLC

16 LINCOLN AVE
PAWCATUCK, CT 06379-1856

Phone: 860-514-5148
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Chiropractor	111N00000X	35	Chiropractic

Indicates primary specialty

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NPI Profile & details for ADVANCED CHIROPRACTIC WELLNESS CENTER, LLC

NPI # 1023291804

LBN Legal business name ADVANCED CHIROPRACTIC WELLNESS CENTER, LLC

Authorized official JOHN FLAHERTY - (OWNER, DOCTOR OF CHIROPRACTIC)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/14/2007

Last updated 12/14/2007 - About 18 years ago

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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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