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Organization

SPINE AND SPORTS CHIROPRACTIC CARE OF CONNECTICUT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERIC HENRY VINCENT D.C. (PRESIDENT)
(860) 269-3225
Entity
Organization

Contact information

Practice address
220 FARMINGTON AVE, FARMINGTON, CT 06032-1949
(860) 269-3225
Mailing address
336 E HILL RD, CANTON, CT 06019-2119
(860) 693-8567

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001504
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C03646
MEDICARE GROUP PIN
CT
Enumeration date
01/19/2007
Last updated
10/20/2013
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