| |
141a Brown Ave, Jewett City, CT 06351-1927 | |
(860) 376-4700 | |
(860) 376-4708 |
Full Name | |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 141a Brown Ave, Jewett City, Connecticut |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730446212 | NPI | - | NPPES |
1164692067 | Other | CT | NPI # 1164692067 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (Connecticut) | Primary |
Mailing Address | Practice Location Address |
---|---|
141a Brown Ave, Jewett City, CT 06351-1927 Ph: (860) 376-4700 | 141a Brown Ave, Jewett City, CT 06351-1927 Ph: (860) 376-4700 |
Ewc 2, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 141a Brown Ave, Jewett City, CT 06351 Phone: 860-376-4700 Fax: 860-376-4708 |