Dr. Stephanie Pautler-Bea, D.C., P.C.
Organization Active NPI Chiropractor · Alden, NY
NPI 1669870796 · NPPES record last updated Mar 5, 2015
Key facts
- NPI
- 1669870796
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 011323 (NY)
- Legal business name
- DR. STEPHANIE PAUTLER-BEA, D.C., P.C.
- Practice address
- 13305 Broadway St
Alden, NY 14004-1324 - Phone
- (716) 902-5261
- Fax
- (716) 902-4303
- NPI assigned
- Dec 4, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Stephanie Rose Pautler-Bea, D.C.
- Title
- President/Chiropractor
- Phone
- (716) 902-5261
Practitioners 3
-
Brenda K Johnson, LMT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150303000646 | NY | Part B Supplier - Clinic/Group Practice | 4385960715 |
Receives reassigned benefits from 1 practitioner Practice locations: Alden, NY |
National Provider Directory
Locations
13305 Broadway St
Alden, NY 14004
Phone (716) 902-5261
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 011323 | NY | Yes |
Addresses
Primary practice location
13305 Broadway St
Alden, NY 14004-1324
Mailing address
13305 Broadway St
Alden, NY 14004-1324
Phone (716) 902-5261
Other names
- Pautler Chiropractic & Wellness
Other providers in Alden, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2015. 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.