Visconti, Bradley Adam

Visconti, Bradley Adam is an sole proprietor health care provider with primary practice located at 171 Market Square Suite 210 , Newington CT 06111-2930. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Visconti, Bradley Adam can be contacted via phone (860) 665-0826.

Contact Information

Primary practice address
171 Market Square Suite 210 Newington CT 06111-2930
Phone: (860) 665-0826
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X 2055 Connecticut

Profile Details

NPI number 1679018600
LBN Legal business name Visconti, Bradley Adam
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2016
Last updated Jan 24th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679018600 NPPES
Connecticut Other 863573069 STATE OF CT

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