Advanced Spine & Sports Medicine LLC
Chiropractor in Wallingford, Connecticut
1265474571- Practice location
- 821 N Main Street Ext, Suite 110, Wallingford, CT 06492-2464
- Phone
- 203-265-7900
- Fax
- 203-265-7756
- Last updated
- April 15, 2020
Advanced Spine & Sports Medicine LLC is a healthcare organization based in Wallingford, CT. Advanced Spine & Sports Medicine LLC practices in Wallingford, CT. The NPI Number for Advanced Spine & Sports Medicine LLC is 1265474571 and holds a License No. 001350 (CT). The current practice location address for Advanced Spine & Sports Medicine LLC is 821 N Main Street Ext, Suite 110, Wallingford, CT 06492-2464 and can be reached out via phone at 203-265-7900 and via fax at 203-265-7756.
Provider Profile Details
- NPI Number
- 1265474571
- Provider Name
- Advanced Spine & Sports Medicine LLC
- Provider Entity Type
- Organization
- Address
- 821 N Main Street Ext, Suite 110, Wallingford, CT 06492-2464
- Phone Number
- 203-265-7900
- Fax Number
- 203-265-7756
- Primary Taxonomy
- Chiropractor · 111N00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Kurt James Marschner, DC · Owner · 203-265-7900
- Provider Enumeration Date
- June 12, 2006
- Last Update Date
- April 15, 2020
- Certification Date
- April 15, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 821 N Main Street Ext
Suite 110
Wallingford, CT 06492-2464 - City
- Wallingford
- State
- Connecticut
- Zip
- 06492-2464
- Phone Number
- 203-265-7900
- Fax Number
- 203-265-7756
Provider Business Mailing Address Details
- Address
- 26 Valley St
Wallingford, CT 06492-3542 - City
- Wallingford
- State
- CT
- Zip
- 06492-3542
- Phone Number
- 203-631-5367
License Information
- License Number
- 001350
- License State
- CT
- Taxonomy
- Chiropractor · 111N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Advanced Spine & Sports Medicine LLC?
The NPI number of Advanced Spine & Sports Medicine LLC is 1265474571. It was assigned on June 12, 2006 and is currently active in the NPPES registry.
What is the specialty of Advanced Spine & Sports Medicine LLC?
Advanced Spine & Sports Medicine LLC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in CT under license number 001350.
Where does Advanced Spine & Sports Medicine LLC practice?
The practice location is 821 N Main Street Ext, Suite 110, Wallingford, CT 06492-2464. The office can be reached at 203-265-7900 (phone) or 203-265-7756 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265474571 directly on the NPPES registry website.