BACK TO HEALTH CHIROPRACTIC OF STRATFORD PC NPI 1497921449

NPI Information

NPI: 1497921449
Provider Name: BACK TO HEALTH CHIROPRACTIC OF STRATFORD PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
3355 MAIN ST
STRATFORD, CT
ZIP 06614
Phone: (203) 381-9703
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BACK TO HEALTH CHIROPRACTIC OF STRATFORD PC is a chiropractor in Stratford, 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. BACK TO HEALTH CHIROPRACTIC OF STRATFORD PC NPI is 1497921449. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3355 MAIN ST
STRATFORD, CT
ZIP 06614-845
Phone: (203) 381-9703
Fax: (203) 381-9802

The provider's authorized official is Keumhong Yoo .
The authorized official title is President and has the following contact phone number (203) 381-9703.

The enumeration date for this NPI number is 4/30/2008 and was last updated on 6/28/2010.

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		17007	CONNECTICUT	Yes

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	42701395	OTHER	CONNECTICUT	GOLDEN RULE
2	350001020	MEDICARE PIN	CONNECTICUT
3	12724992	OTHER	CONNECTICUT	MULTIPLAN
4	745717	OTHER	CONNECTICUT	CONNECTICARE
5	42701395	OTHER	CONNECTICUT	A C N
6	D100000003	MEDICARE PIN	CONNECTICUT
7	050000899CT04	OTHER	CONNECTICUT	ANTHEM BLUE CROSS BLUE SHIELD
8	183592	OTHER	CONNECTICUT	WELLCARE
9	42701395	OTHER	CONNECTICUT	BENEFIT CONCEPTS
10	42701395	OTHER	CONNECTICUT	GREAT WEST
11	4298598	OTHER	CONNECTICUT	AETNA
12	000001470878	OTHER	CONNECTICUT	PRIVATE HEALTHCARE SYSTEMS
13	P4003952	OTHER	CONNECTICUT	OXFORD
14	9812065	OTHER	CONNECTICUT	AETNA
15	050001707CT01	OTHER	CONNECTICUT	BC BS
16	U02639	MEDICARE UPIN	CONNECTICUT
17	D400002438	MEDICARE PIN	CONNECTICUT
18	050000899CT03	OTHER	CONNECTICUT	ANTHEM BLUE CROSS BLUE SHIELD
19	NHS467	OTHER	CONNECTICUT	OXFORD

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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