Organization
NEW CANAAN CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY A WILLIAMS D.C. (MEMBER, DULY AUTHORIZED)
(203) 966-9777
Entity
Organization
Contact information
Practice address
111 ELM ST, NEW CANAAN, CT 06840-5419
(203) 966-9777
(203) 966-0778
Mailing address
111 ELM ST, NEW CANAAN, CT 06840-5419
(203) 966-9777
(203) 966-0778
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CT001042
CT
111NN0400X
Neurology Chiropractor
CT001042
CT
111NN1001X
Nutrition Chiropractor
CT001042
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004127123
—
CT
01
—
P420681
OXFORD
CT
Enumeration date
03/15/2017
Last updated
03/15/2017
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