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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 Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ADVANCED BACK & WELLNESS CENTER LLC

NPI # 1538571955
LBN Legal business name ADVANCED BACK & WELLNESS CENTER LLC
Authorized official DEBRA BURNS - (CHIROPRACTIC PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 05/21/2014
Last updated 07/15/2020 - About 6 years ago
Identifiers
CT Other D100146044 MEDICARE GROUP PTAN
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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