Organization
MODERN CHIROPRACTIC OF NEWINGTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE M SMITH D.C. (MEMBER/CHIROPRACTOR)
(860) 667-8334
Entity
Organization
Contact information
Practice address
2301 BERLIN TPKE, NEWINGTON, CT 06111-3206
(860) 667-8334
(860) 760-6456
Mailing address
2301 BERLIN TPKE, NEWINGTON, CT 06111-3206
(860) 667-8334
(860) 760-6456
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001553
CT
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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