Advanced Spine & Sports Medicine LLC
Organization Active NPI Chiropractor · Wallingford, CT
NPI 1265474571 · NPPES record last updated Apr 15, 2020
Key facts
- NPI
- 1265474571
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 001350 (CT)
- Legal business name
- ADVANCED SPINE & SPORTS MEDICINE LLC
- Practice address
- 821 N Main Street Ext
Suite 110
Wallingford, CT 06492-2464 - Phone
- (203) 265-7900
- Fax
- (203) 265-7756
- NPI assigned
- Jun 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Kurt James Marschner, D.C.
- Title
- Owner
- Phone
- (203) 265-7900
National Provider Directory
Locations
821 N Main Street Ext
#110
Wallingford, CT 06492
Phone (203) 265-7900
801 N Main Street Ext
Ste 1
Wallingford, CT 06492
Phone (203) 265-7900
821 N Main Street Ext
Ste 110
Wallingford, CT 06492
Phone (203) 265-7900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 001350 | CT | Yes |
Addresses
Primary practice location
821 N Main Street Ext
Suite 110
Wallingford, CT 06492-2464
Mailing address
26 Valley St
Wallingford, CT 06492-3542
Phone (203) 631-5367
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- Advanced Dental of Wallingford LLC
- Advantage Eye Care, LLC
- Affiliated Foot Care Center, LLC
- Anant Agarwalla
- Blanche C. Agostinelli
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All providers in Wallingford, CT · Chiropractor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.