ADVANCED BACK & WELLNESS CENTER LLC – NPI #1538571955
Chiropractor

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.

Health Care Provider Taxonomy Code for Chiropractor

ADVANCED BACK & WELLNESS CENTER LLC is a chiropractor located in PUTNAM, CT. NPPES has assigned the NPI number 1538571955 to ADVANCED BACK & WELLNESS CENTER LLC on May 21, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 111N00000X from the Health Care Provider Taxonomy code set, which is classified as Chiropractor.

The NPI profile was previously updated about 6 years ago on Jul 15, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED BACK & WELLNESS CENTER LLC below.

NPI Profile for
ADVANCED BACK & WELLNESS CENTER LLC

NPI Number
1538571955
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCED BACK & WELLNESS CENTER LLC
Primary location
21 S MAIN ST
PUTNAM, CT 06260-1906
Phone: (860) 928-2292 Fax: (860) 928-0537
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DEBRA BURNS
CHIROPRACTIC PHYSICIAN
Phone: (860) 928-2292
Updated
Certification Date
Jul 15, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ADVANCED BACK & WELLNESS CENTER LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE GROUP PTANCTD100146044
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
111N00000X
- Chiropractor (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.