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Individual

DR. MARC LEUENBERGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C., D.A.C.S.

Contact information

Practice address
43 EAST ST, PLAINVILLE, CT 06062-2308
(860) 793-6824
(860) 793-6824
Mailing address
43 EAST ST, PLAINVILLE, CT 06062-2308
(860) 793-6824
(860) 793-6824

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
000729CT
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000729CT
STATE LICENSE
CT
01
050000729CT01
ANTHEM
CT
01
4296283
AETNA
CT
01
754337
CONNECTICARE
CT
01
8949579
CIGNA
CT
01
OR3039
LANDMARK
CT
Enumeration date
12/27/2006
Last updated
07/08/2007
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