Organization
PRIMARY SPINE & REHAB LLC
Active
Other names
Chiropractic Health Center of Enfield
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN E SADOWSKI DC (OWNER)
(860) 763-2225
Entity
Organization
Contact information
Practice address
143 HAZARD AVE, ENFIELD, CT 06082
(860) 763-2225
(860) 763-3161
Mailing address
143 HAZARD AVE, ENFIELD, CT 06082
(860) 763-2225
(860) 763-3161
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
001310
CT
225100000X
Physical Therapist
Primary
007813
CT
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4198348
—
CT
05
—
41986348
—
CT
01
—
77603
CONNECTICARE
CT
01
—
G2994212
OXFORD
CT
Enumeration date
05/10/2007
Last updated
01/31/2022
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