Organization
LYNN CARNAROLI CHIROPRACTIC CENTER OF NORWICH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN CARNAROLI DC (OWNER)
(860) 886-9277
Entity
Organization
Contact information
Practice address
85 SACHEM ST, NORWICH, CT 06360
(860) 889-5812
(860) 886-9247
Mailing address
85 SACHEM ST, NORWICH, CT 06360
(860) 889-5812
(860) 886-9247
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
000586
CT
111N00000X
Chiropractor
Primary
00586
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004074233
—
CT
01
—
050000586CT01
BLUE CROSS BLUE SHIELD
CT
01
—
1770697179
NPI
CT
01
—
2370484
AETNA US HEALTHCARE
CT
Enumeration date
03/12/2007
Last updated
11/03/2008
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