Chiropractic Health & Wellness Center LLC
Organization Active NPI Chiropractor · Fairfield, CT
NPI 1659601037 · NPPES record last updated Aug 19, 2013
Key facts
- NPI
- 1659601037
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 004500 (CT)
- Legal business name
- CHIROPRACTIC HEALTH & WELLNESS CENTER LLC
- Practice address
- 2000 Post Rd Ste 203
Fairfield, CT 06824-5730 - Phone
- (203) 259-1555
- Fax
- (203) 254-2417
- NPI assigned
- Jan 6, 2010
- Organization subpart
- No
Authorized official
- Name
- Richard E Pinsky, D.C.
- Title
- President
- Phone
- (203) 259-1555
Practitioners 6
-
Richard Eric Pinsky, D.C.
-
Nicholas S Bogannam, D.C.
-
David Dolio, DC
-
Matthew C. Kenney, D.C.
-
Paul Howard Silver, D.C.
-
Tyler Wayne Vitzthum, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110218000744 | CT | Part B Supplier - Clinic/Group Practice | 9032390315 |
Receives reassigned benefits from 1 practitioner Practice locations: Fairfield, CT |
National Provider Directory
Locations
1995 Post Rd
Fairfield, CT 06824
Phone (203) 259-1555
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 004500 | CT | Yes |
Addresses
Primary practice location
2000 Post Rd Ste 203
Fairfield, CT 06824-5730
Mailing address
2000 Post Rd Ste 203
Fairfield, CT 06824-5730
Phone (203) 259-1555
Other providers in Fairfield, CT
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- Children'S Therapy and Learning Center
- Murali Chiravuri
- Grace Chisholm
- Sherard Chiu
- Christy Marie Chorek
- Tori Brooke Chorzepa
- Gigi Chow
All providers in Fairfield, CT · Chiropractor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2013. 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.