# FREDERICK A BARKS, JR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Putnam Chiropractic Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114113545
- **Authorized official:** DR. FREDERICK A BARKS JR. D.C. (OWNER)
- **Authorized official phone:** (860) 928-7729

## Contact information

- **Practice address:** 245 SCHOOL ST, PUTNAM, CT 06260-1621
- **Practice address phone:** (860) 928-7729
- **Practice address fax:** (860) 928-0593
- **Mailing address:** 245 SCHOOL ST, PUTNAM, CT 06260-1621
- **Mailing address phone:** (860) 928-7729
- **Mailing address fax:** (860) 928-0593

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | 001391 | CT | Yes |

## Other

- **Enumeration date:** 09/19/2007
- **Last updated:** 12/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 010391 | CONNECTICARE | CT |
| 01 | — | 050001391CT02 | BCBS OF CT | CT |
| 01 | — | 06985925002 | CIGNA | CT |
| 01 | — | 1030756 | ASHN | CT |
| 01 | — | 29336-1 | BCBS OF RI | RI |
| 01 | — | 2V5130 | HEALTHNET | CT |
| 01 | — | 3823400 | AETNA | CT |
| 01 | — | 412398 | BLUE CHIP OF RI | RI |
| 01 | — | 4404611 | UNITED HEALTHCARE | CT |
| 01 | — | AA32943 | HARVARD PILGRIM | MA |
| 01 | — | C03295 | MEDICARE GROUP ID | CT |
| 01 | — | P00217640 | MEDICARE ID - RAILROAD ME | CT |
| 01 | — | P2686322 | OXFORD | CT |