Individual
DR. JOHN SCOTT HITCHINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
50 HARTFORD AVE, GRANBY, CT 06035
(860) 653-5581
(860) 653-6035
Mailing address
PO BOX 270, GRANBY, CT 06035
(860) 653-5581
(860) 653-6035
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001024
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004130887
—
CT
01
—
050001024CT02
ANTHEM BLUE CROSS BLUE SH
CT
Enumeration date
09/07/2006
Last updated
10/01/2012
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