Vibrant Health Chiropractic LLC
Organization Active NPI Chiropractor · Bow, NH
NPI 1578037206 · NPPES record last updated Jan 16, 2019
Key facts
- NPI
- 1578037206
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- VIBRANT HEALTH CHIROPRACTIC LLC
- Practice address
- 783 Route 3a
Bow, NH 03304-4045 - Phone
- (603) 856-7790
- Fax
- (603) 856-7894
- NPI assigned
- Jan 16, 2019
- Organization subpart
- No
Authorized official
- Name
- Jenna Borbidge, DC
- Title
- Owner
- Phone
- (603) 856-7790
Practitioners 1
-
Jenna Borbidge, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190506000928 | NH | Part B Supplier - Clinic/Group Practice | 2668714056 |
Receives reassigned benefits from 1 practitioner Practice locations: Bow, NH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
783 Route 3a
Bow, NH 03304-4045
Mailing address
16 Chase St
Concord, NH 03301-5727
Phone (603) 568-9256
Other providers in Bow, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2019. 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.