Organization
FREDERICK A BARKS, JR
Active
Other names
Putnam Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK A BARKS JR. D.C. (OWNER)
(860) 928-7729
Entity
Organization
Contact information
Practice address
245 SCHOOL ST, PUTNAM, CT 06260-1621
(860) 928-7729
(860) 928-0593
Mailing address
245 SCHOOL ST, PUTNAM, CT 06260-1621
(860) 928-7729
(860) 928-0593
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
001391
CT
Other
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
Enumeration date
09/19/2007
Last updated
12/12/2008
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