Organization
HODES CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT A HODES D.C. (OWNER)
(203) 754-2300
Entity
Organization
Contact information
Practice address
1249 W MAIN ST, SUITE 7, WATERBURY, CT 06708-3100
(203) 754-2300
(203) 754-2301
Mailing address
1249 W MAIN ST, SUITE 7, WATERBURY, CT 06708-3100
(203) 754-2300
(203) 754-2301
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
000899
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001470878
PRIVATE HEALTHCARE SYSTEM
CT
01
—
050000899CT02
ANTHEM BLUE CROSS
CT
01
—
050000899CT04
BLUE CROSS BLUE SHIELD
CT
01
—
1912964826
NPI
CT
01
—
2113832
AETNA
CT
01
—
4298598
AETNA
CT
01
—
71314
AMERICAN SPECIALTY
CT
01
—
742701
CONNECTICARE
CT
01
—
745717
CONNECTICARE
CT
01
—
NHS467
OXFORD
CT
Enumeration date
06/25/2013
Last updated
03/20/2017
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