Advanced Back & Wellness Center Llc

LBN: Advanced Back & Wellness Center Llc
Advanced Back & Wellness Center Llc is an health care organization with primary practice located at 21 S Main St , Putnam CT 06260-1906. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Advanced Back & Wellness Center Llc can be contacted via phone (860) 928-2292, or through Burns, Debra Ann via phone (860) 928-2292.

Contact Information

Primary practice address
21 S Main St Putnam CT 06260-1906
Phone: (860) 928-2292
Fax: (860) 928-0537
Website:
Map and Directions
Authorized official contact:
Name: Burns, Debra Ann Doctor of Chiropractic (DC)
Phone: (860) 928-2292

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1538571955
LBN Legal business name Advanced Back & Wellness Center Llc
DBA Doing business as
Authorized official Burns, Debra Ann Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2014
Last updated Jul 15th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538571955 NPPES
Connecticut Other D100146044 MEDICARE GROUP PTAN

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