ADVANCED MEDICAL & REHABILITATION NPI 1346311289

NPI Information

NPI: 1346311289
Provider Name: ADVANCED MEDICAL & REHABILITATION
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
3 CORPORATE DRIVE
SUITE 160
SHELTON, CT
ZIP 06484
Phone: (203) 929-5550
Get Directions

ADVANCED MEDICAL & REHABILITATION is a chiropractor in Shelton, 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. ADVANCED MEDICAL & REHABILITATION NPI is 1346311289. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3 CORPORATE DRIVE
SUITE 160
SHELTON, CT
ZIP 06484
Phone: (203) 929-5550
Fax: (203) 926-1220

The provider's authorized official is Lawrence M Wilner .
The authorized official title is Chiropractor Owner and has the following contact phone number (203) 929-5500.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 8/22/2020.

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
1	111N00000X	Chiropractor		000862	CONNECTICUT	Yes
2	111NR0400X	Chiropractor	Rehabilitation	000862	CONNECTICUT	X
3	225700000X	Massage Therapist		000862	CONNECTICUT	X

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
1	050000862CT01	OTHER	CONNECTICUT	ANTHEM BCBS
2	CV2880	OTHER	CONNECTICUT	HEALTHNET LANDMARK

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: 4/28/2024

NPI Synchronization or Removal

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