Bear Chiropractic Inc.

Organization Active NPI Chiropractor · Bear, DE

NPI 1194934083 · NPPES record last updated Jan 7, 2010

Key facts

NPI
1194934083
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
License
F1-0000281 (DE)
Legal business name
BEAR CHIROPRACTIC INC.
Practice address
811 Governors PL
Bear, DE 19701-3046
Phone
(302) 836-8361
Fax
(302) 836-8163
NPI assigned
May 21, 2007
Organization subpart
No

Authorized official

Name
Dr. Alexander Bohatiuk, D.C.
Title
Owner
Phone
(302) 836-8361

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in DE

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100106000502 DE Part B Supplier - Clinic/Group Practice 2264573781 Receives reassigned benefits from 1 practitioner
Practice locations: Bear, DE

National Provider Directory

Locations

811 Governors Pl
Bear, DE 19701
Phone (302) 836-8361

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111N00000X F1-0000281 DE Yes

Addresses

Primary practice location

811 Governors PL
Bear, DE 19701-3046

Mailing address

811 Governors PL
Bear, DE 19701-3046
Phone (302) 836-8361

Other providers in Bear, DE

All providers in Bear, DE · Chiropractor in Delaware

Sources for this page

Verify at the official NPI Registry.