Carbone Chiropractic Center LLC
Organization Active NPI Chiropractor · Wethersfield, CT
NPI 1972686103 · NPPES record last updated Apr 1, 2014
Key facts
- NPI
- 1972686103
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 000907 (CT)
- Legal business name
- CARBONE CHIROPRACTIC CENTER LLC
- Practice address
- 82-86 Wolcott Hill Rd
Suite #1
Wethersfield, CT 06109-1252 - Phone
- (860) 296-4446
- Fax
- (860) 296-0041
- NPI assigned
- Oct 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Guy Carbone, DC
- Title
- Chiropractor Owner
- Phone
- (860) 296-4446
Subparts reporting this organization as parent 1
Member organizations 1
Practitioners 6
-
Guy Carbone, DC
-
Matthew Joseph Carbone, D.C.
-
Christina Ruddy, DC
-
Melissa Ann Tulisano, D.C.
-
Mark Chudy, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060117000892 | CT | Part B Supplier - Clinic/Group Practice | 2567486533 |
Receives reassigned benefits from 4 practitioners Practice locations: Wethersfield, CT |
National Provider Directory
Locations
82-86 Wolcott Hill Rd
Ste 1
Wethersfield, CT 06109
Phone (860) 296-4446
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 000907 | CT | Yes |
Addresses
Primary practice location
82-86 Wolcott Hill Rd
Suite #1
Wethersfield, CT 06109-1252
Mailing address
82-86 Wolcott Hill Rd
Suite #1
Wethersfield, CT 06109-1252
Phone (860) 296-4446
Other providers in Wethersfield, CT
- Karen E. Calcaterra
- Ozlem Camli
- Capitol Region Education Council
- Capitol Region Education Council
- Carbone Chiropractic Center Dba Southside Physical Therapy LLC
- Guy Carbone
- Matthew Joseph Carbone
- Care of Hope
- Brittany M Carilli
- Karen L Carney
All providers in Wethersfield, 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 Apr 1, 2014. 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.