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Dr. Shane Smith, DC
Chiropractor in Newington, Connecticut
NPI 1821177197

Shane Smith is a Chiropractor based in Newington, CT. Shane Smith practices in Newington, CT and has the professional credentials of DC. The NPI Number for Shane Smith is 1821177197 and holds a License No. 001553 (Connecticut).

The current practice location address for Shane Smith is 2301 Berlin Tpke, Newington, CT and can be reached out via phone at 860-667-8334 and via fax at 860-760-6456.

Location: 2301 Berlin Tpke, Newington, CT, 06111-3206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821177197
Provider Name
Shane Smith
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
2301 Berlin Tpke, Newington, CT, 06111-3206
Phone Number
860-667-8334
Fax Number
860-760-6456
Provider Enumeration Date
11/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
050001553CT02 01 CT BLUECROSSBLUESHIELD
3689845 01 CT AETNA
672541 01 CT CONNECTICARE
institution
Provider Business Practice Location Address Details
Address
2301 Berlin Tpke
City
Newington
State
Connecticut
Zip
06111-3206
Phone Number
860-667-8334
Fax Number
860-760-6456
person
Provider Business Mailing Address Details
Address
2301 Berlin Tpke
City
Newington
State
Connecticut
Zip
06111-3206
Phone Number
860-667-8334
Fax Number
860-760-6456
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
001553 (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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