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Dr. Walter E. Henderson JR., DC
Chiropractor in Berlin, Connecticut
NPI 1801945548

Walter E. Henderson JR. is a Chiropractor based in Berlin, CT. Walter E. Henderson JR. practices in Berlin, CT and has the professional credentials of DC. The NPI Number for Walter E. Henderson JR. is 1801945548 and holds a License No. 001443 (Connecticut).

The current practice location address for Walter E. Henderson JR. is 1101 Farmington Ave, Berlin, CT and can be reached out via phone at 860-828-8220 and via fax at 860-828-8232.

Location: 1101 Farmington Ave, Berlin, CT, 06037-2241
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801945548
Provider Name
Walter E. Henderson JR.
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1101 Farmington Ave, Berlin, CT, 06037-2241
Phone Number
860-828-8220
Fax Number
860-828-8232
Provider Enumeration Date
01/10/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
47-0862263 01 CT CIGNA
47-0862263 01 CT UNITED HEALTH CARE
47-0862263 01 CT AETNA
P2811446 01 CT OXFORD HEALTH
050001443CT01 01 CT BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1101 Farmington Ave
City
Berlin
State
Connecticut
Zip
06037-2241
Phone Number
860-828-8220
Fax Number
860-828-8232
person
Provider Business Mailing Address Details
Address
1101 Farmington Ave
City
Berlin
State
Connecticut
Zip
06037-2241
Phone Number
860-828-8220
Fax Number
860-828-8232
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
001443 (Connecticut)
Definition
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.
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