CROMWELL CHIROPRACTIC CENTER LLC NPI 1134372964

NPI Information

  • NPI: 1134372964
  • Provider Name: CROMWELL CHIROPRACTIC CENTER, LLC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 28 SHUNPIKE RD
    CROMWELL, CT
    ZIP 06416
  • Phone: (860) 635-4455

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NPI Details

CROMWELL CHIROPRACTIC CENTER, LLC is a chiropractor in Cromwell, CT. The provider is 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. CROMWELL CHIROPRACTIC CENTER, LLC NPI is 1134372964. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

28 SHUNPIKE RD
CROMWELL, CT
ZIP 06416-454
Phone: (860) 635-4455
Fax: (860) 635-0499

The provider's authorized official is Robert M Shortell .
The authorized official title is Owner and has the following contact phone number (860) 635-4455.

The enumeration date for this NPI number is 10/24/2008 and was last updated on 10/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor001242CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U67120MEDICARE UPINCONNECTICUT
2004178035MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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