Organization
BACK ON TRACK CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINA ANN CONNELLY DC (CHIROPRACTOR)
(860) 919-1869
Entity
Organization
Contact information
Practice address
98 WHITING ST, UNIT C, PLAINVILLE, CT 06062-2881
(860) 919-1869
Mailing address
98 WHITING ST, UNIT C, PLAINVILLE, CT 06062-2881
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001924
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528315637
NPI
CT
01
—
D400077805
MEDICARE PTAN
CT
Enumeration date
02/23/2015
Last updated
02/23/2015
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