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Organization
BACK TO HEALTH CHIROPRACTIC OF STRATFORD PC
Active
Organization
BACK TO HEALTH CHIROPRACTIC OF STRATFORD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEUMHONG YOO D.C. (PRESIDENT)
(203) 381-9703
Entity
Organization
Contact information
Practice address
3355 MAIN ST, STRATFORD, CT 06614-4845
(203) 381-9703
(203) 381-9802
Mailing address
3355 MAIN ST, STRATFORD, CT 06614-4845
(203) 381-9703
(203) 381-9802
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
17007
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001470878
PRIVATE HEALTHCARE SYSTEMS
CT
01
—
050000899CT03
ANTHEM BLUE CROSS BLUE SHIELD
CT
01
—
050000899CT04
ANTHEM BLUE CROSS BLUE SHIELD
CT
01
—
050001707CT01
BC BS
CT
01
—
12724992
MULTIPLAN
CT
01
—
183592
WELLCARE
CT
01
—
42701395
BENEFIT CONCEPTS
CT
01
—
4298598
AETNA
CT
01
—
745717
CONNECTICARE
CT
01
—
9812065
AETNA
CT
01
—
NHS467
OXFORD
CT
01
—
P4003952
OXFORD
CT
Enumeration date
04/30/2008
Last updated
06/28/2010
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