Organization
EAST WEST CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER DAVID DEVEAU DC (CHIROPRACTOR/OWNER)
(860) 446-9700
Entity
Organization
Contact information
Practice address
1353 GOLD STAR HWY, SUITE 106, GROTON, CT 06340-2739
(860) 446-9700
(860) 326-5728
Mailing address
1353 GOLD STAR HWY, SUITE 106, GROTON, CT 06340-2739
(860) 446-9700
(860) 326-5728
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001172
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050001172CT02
BLUECROSSBLUESHIELD
CT
Enumeration date
10/09/2006
Last updated
04/23/2012
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