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DR. WALTER E. HENDERSON D.C.

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1801945548

Individual Registrant:
DR. WALTER E. HENDERSON D.C.
Gender: M
Sole Proprietor

Location and contact information for practice:
1101 FARMINGTON AVE  BERLIN, CT 06037-2241 US
Tel: 860-828-8220  Fax: 860-828-8232

Contact information for business:
1097 FARMINGTON AVE  BERLIN, CT 06037-2241 US
Tel: 860-828-8220  Fax: 860-828-8232

Registration Information:
NPI: 1801945548
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
CT001443

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CIGNA47-0862263CT01
UNITED HEALTH CARE47-0862263CT01
AETNA47-0862263CT01
BLUE CROSS BLUE SHIELD050001443CT01CT01
OXFORD HEALTHP2811446CT01




HEALTH CARE JOBS CT - Page 1



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