Abc Health Services Inc
Organization Active NPI Chiropractor · East Longmeadow, MA
NPI 1104034255 · NPPES record last updated Mar 27, 2009
Key facts
- NPI
- 1104034255
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- MA1052 (MA)
- Legal business name
- ABC HEALTH SERVICES INC
- Practice address
- 200 N Main St Ste 10
East Longmeadow, MA 01028-2353 - Phone
- (413) 525-2932
- Fax
- (413) 525-6839
- NPI assigned
- May 21, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. William R. Bazin, D.C.
- Title
- Chiropractor
- Phone
- (413) 525-2932
Other NPIs with the same Medicare PAC ID 1
Practitioners 3
-
William R Bazin, D.C.
-
Sarah Nordbeck, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050131000805 | MA | Part B Supplier - Clinic/Group Practice | 6709836323 |
Receives reassigned benefits from 2 practitioners Practice locations: East Longmeadow, MA |
National Provider Directory
Locations
200 N Main St
Ste 10
East Longmeadow, MA 01028
Phone (413) 525-2932
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | MA1052 | MA | Yes |
Addresses
Primary practice location
200 N Main St Ste 10
East Longmeadow, MA 01028-2353
Mailing address
200 N Main St Ste 10
East Longmeadow, MA 01028-2353
Phone (413) 525-2932
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y35719 | Other | MA | BCBS PROVIDER # |
| MA1052 | Other | MA | LICENSE |
| Y39840 | Other | MA | BCBS GROUP# |
Other providers in East Longmeadow, MA
- 135 Benton Drive Operating Company, LLC
- 413Therapy Group, Inc.
- 42 North Dental Care, LLC
- Active Ma, Inc.
- Michelle E. Adams
- Advanced Urology of New England, LLC
- Affinity Home Care Inc
- Airline Drug Inc
All providers in East Longmeadow, MA · Chiropractor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.