Organization
BLOOMFIELD CHIROPRACTIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN F ROBOTHAM D.C. (OWNER)
(860) 243-2142
Entity
Organization
Contact information
Practice address
11 MOUNTAIN AVE, BLOOMFIELD, CT 06002-2343
(860) 243-2142
(860) 242-0274
Mailing address
11 MOUNTAIN AVE, BLOOMFIELD, CT 06002-2343
(860) 243-2142
(860) 242-0274
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001213
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050001213CT01
BLUECROSS
CT
Enumeration date
01/18/2008
Last updated
01/18/2008
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