Provider Demographics
NPI:1023268810
Name:NATURAL HEALTH AND CHIROPRACTIC
Entity type:Organization
Organization Name:NATURAL HEALTH AND CHIROPRACTIC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PRACTITIONER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:J
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:860-633-3525
Mailing Address - Street 1:49 WELLES ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-4205
Mailing Address - Country:US
Mailing Address - Phone:860-633-3525
Mailing Address - Fax:860-633-7186
Practice Address - Street 1:49 WELLES ST
Practice Address - Street 2:SUITE 207
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-4205
Practice Address - Country:US
Practice Address - Phone:860-633-3525
Practice Address - Fax:860-633-7186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-29
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000167111NN1001X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0511238OtherAETNA
1629132766OtherNPI
050000167CT01OtherBLUE CROSS BLUE SHIELD
P485802OtherOXFORD
732618OtherCONNECTICARE
CT350000111Medicare UPIN