Michael D Reife, DC
Individual provider Active NPI Neurology Chiropractor · Marlborough, CT
NPI 1710089263 · NPPES record last updated Feb 25, 2008
Key facts
- NPI
- 1710089263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Chiropractor 111NN0400X
- License
- 000719 (CT)
- Practice address
- 8 Independence Dr
Suite 2
Marlborough, CT 06447-1408 - Phone
- (860) 295-1200
- Fax
- (860) 295-1201
- NPI assigned
- Sep 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8 Independence Dr
Marlborough, CT 06447-1408
Phone (860) 295-1200
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051220000132 | CT | Practitioner - Chiropractic | 9436171402 | Practice locations: Marlborough, CT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000719 | CT | MD | Mental Health Counselor |
| 719 | CT | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 000719 | CT | Yes |
Addresses
Primary practice location
8 Independence Dr
Suite 2
Marlborough, CT 06447-1408
Mailing address
8 Independence Dr
Suite 2
Marlborough, CT 06447-1408
Phone (860) 295-1200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P415571 | Other | CT | OXFORD |
| 766400 | Other | CT | CONNECTICARE |
| 050000719CT01 | Other | CT | BLUE CROSS/BLUE SHIELD |
Other providers in Marlborough, CT
- Melissa Hope Price
- Joseph A Prignano
- Program Builders Inc.
- Program Builders, Inc.
- Steven Rafalowsky
- Sharon Leigh Remkiewicz
- Jennifer Rey
- Lizbette Rivera
- Root Physical Therapy
- Roy B Pettengill Amb Assoc
All providers in Marlborough, CT · Neurology 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 Feb 25, 2008. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.