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Organization
ADVANCED CHIROPRACTIC WELLNESS CENTER, LLC
Active
Organization
ADVANCED CHIROPRACTIC WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M FLAHERTY D.C. (OWNER, DOCTOR OF CHIROPRACTIC)
(860) 514-5148
Entity
Organization
Contact information
Practice address
16 LINCOLN AVE, PAWCATUCK, CT 06379-1856
(860) 514-5148
Mailing address
16 LINCOLN AVE, PAWCATUCK, CT 06379-1856
(860) 514-5148
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001268
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050001268CT02
ANTHEM BLUE CROSS
CT
01
—
3756844
AETNA
CT
01
—
4404366
UNITED HEALTHCARE
CT
01
—
950692
HEALTHNET
CT
01
—
P2114470
OXFORD HEALTH
CT
Enumeration date
12/14/2007
Last updated
12/14/2007
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