National Provider Identifier Database

ADVANCED BACK 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 BACK & WELLNESS CENTER LLC
21 S MAIN ST
PUTNAM, CT06260-1906
Phone: 860-928-2292
Fax: 860-928-0537
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for ADVANCED BACK & WELLNESS CENTER LLC

NPI Number 1538571955
Legal business name
LBN
ADVANCED BACK & WELLNESS CENTER LLC
Authorized official DEBRA BURNS - (CHIROPRACTIC PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 05/21/2014
Last updated 07/15/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • CT Other: D100146044 MEDICARE GROUP PTAN

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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