Individual
BENNETT E. SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
28 E MAIN ST, AVON, CT 06001-3801
(860) 674-1992
(860) 674-9664
Mailing address
28 E MAIN ST, AVON, CT 06001-3801
(860) 674-1992
(860) 674-9664
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
291
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
742980
CTCARE
CT
Enumeration date
11/13/2006
Last updated
07/08/2007
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