Advanced Health Professionals, P. C.
Organization Active NPI Chiropractor · Norwalk, CT
NPI 1740296367 · NPPES record last updated May 19, 2010
Key facts
- NPI
- 1740296367
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 000914 (CT)
- Legal business name
- ADVANCED HEALTH PROFESSIONALS, P. C.
- Practice address
- 112 Main Street
Norwalk, CT 06851 - Phone
- (203) 847-4477
- Fax
- (203) 847-3186
- NPI assigned
- Aug 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Robert Neil Goldring, D.C.
- Title
- President
- Phone
- (203) 847-4477
Corporate family (same tax ID) 1
Practitioners 3
-
Serena Keklik, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040113000599 | CT | Part B Supplier - Clinic/Group Practice | 9133029218 |
Receives reassigned benefits from 3 practitioners Practice locations: Norwalk, CT |
National Provider Directory
- Tax ID family
- Advanced Health Plus Stratford PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 000914 | CT | Yes |
Addresses
Primary practice location
112 Main Street
Norwalk, CT 06851
Mailing address
112 Main Street
Norwalk, CT 06851
Phone (203) 847-4477
Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.