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Organization

CROMWELL CHIROPRACTIC CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT M SHORTELL D.C. (OWNER)
(860) 635-4455
Entity
Organization

Contact information

Practice address
28 SHUNPIKE RD, CROMWELL, CT 06416-2454
(860) 635-4455
(860) 635-0499
Mailing address
28 SHUNPIKE RD, CROMWELL, CT 06416-2454
(860) 635-4455
(860) 635-0499

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001242
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004178035
CT
Enumeration date
10/24/2008
Last updated
10/24/2008
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