# BACK TO HEALTH CHIROPRACTIC OF STRATFORD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497921449
- **Authorized official:** DR. KEUMHONG YOO D.C. (PRESIDENT)
- **Authorized official phone:** (203) 381-9703

## Contact information

- **Practice address:** 3355 MAIN ST, STRATFORD, CT 06614-4845
- **Practice address phone:** (203) 381-9703
- **Practice address fax:** (203) 381-9802
- **Mailing address:** 3355 MAIN ST, STRATFORD, CT 06614-4845
- **Mailing address phone:** (203) 381-9703
- **Mailing address fax:** (203) 381-9802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 17007 | CT | Yes |

## Other

- **Enumeration date:** 04/30/2008
- **Last updated:** 06/28/2010

## 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 |