| Advanced Back & Wellness Center Llc | |
|
21 S Main St, Putnam, CT 06260-1906 | |
| (860) 928-2292 | |
| (860) 928-0537 |
| Full Name | Advanced Back & Wellness Center Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 21 S Main St, Putnam, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538571955 | NPI | - | NPPES |
| D100146044 | Other | CT | MEDICARE GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Debra A Burns |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1033115951 PECOS PAC ID: 1658458807 Enrollment ID: I20080411000394 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Back & Wellness Center Llc 21 S Main St, Putnam, CT 06260-1906 Ph: (860) 928-2292 | Advanced Back & Wellness Center Llc 21 S Main St, Putnam, CT 06260-1906 Ph: (860) 928-2292 |
Dr. Debra A. Burns, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 21 S Main St, Putnam, CT 06260 Phone: 860-928-2292 Fax: 860-928-0537 | |
Frederick A Barks, Jr Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 245 School St, Putnam, CT 06260 Phone: 860-928-7729 Fax: 860-928-0593 | |
Dr. Frederick Arthur Barks Jr., D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 245 School St, Putnam, CT 06260 Phone: 860-928-7729 Fax: 860-928-0593 | |
Dr. Vincent James Woods, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 245 School St, Putnam, CT 06260 Phone: 860-928-7729 Fax: 860-928-0593 |