ADVANCED BACK CENTER - NPI 1043486947 - Chiropractor in Southington, CT

Q: What is the provider's specialty?

The provider's specialty is Chiropractor with taxonomy code 111N00000X.

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About Advanced Back Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED BACK CENTER (NPI 1043486947) is a healthcare organization registered as a chiropractor in Southington, Connecticut and active in the NPI registry since May 2008. The organization lists Stacey Kim Raya, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1043486947

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameADVANCED BACK CENTER

Location Address200 QUEEN STSouthington, CT 06489-1901

Mailing Address200 Queen StSouthington, CT 06489-1901 · (860) 621-2225 · Fax (860) 621-2868

Phone(860) 621-2225

Fax(860) 621-2868

Organization SubpartNo

Authorized OfficialStacey Kim RayaOwner/president · (860) 621-2225

Enumeration DateMay 1, 2008

✔ NPI 1043486947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CT · 000938

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

200 QUEEN ST, Southington, CT 06489

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Other Identifiers 1

Medicare PINC01587CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP