Coastal Chiropractic & Family Wellness Centre is a
Nurse Practitioner - Family based in Mystic, Connecticut. Coastal Chiropractic & Family Wellness Centre is licensed to practice in Connecticut (license number ) and their current practice location is
23 Clara Dr, Suite 105, Mystic, Connecticut. It can be reached at their office (for appointments etc.) via phone at
(860) 572-7711.
NPI number for Coastal Chiropractic & Family Wellness Centre is 1811109259 and their current mailing address is 23 Clara Dr, Suite 105, Mystic, Connecticut. Coastal Chiropractic & Family Wellness Centre
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1811109259.
Healthcare Provider's Profile
| Full Name | Coastal Chiropractic & Family Wellness Centre |
|---|
| Type | Facility |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 23 Clara Dr, Mystic, Connecticut |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811109259
- Provider Enumeration Date: 05/06/2007
- Last Update Date: 09/11/2025
Medical Identifiers
Medical identifiers for Coastal Chiropractic & Family Wellness Centre such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1811109259 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 111NR0400X | Chiropractor - Rehabilitation | 1623 (Connecticut) | Secondary |
| 175F00000X | Naturopath | 344 (Connecticut) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Coastal Chiropractic & Family Wellness Centre is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Coastal Chiropractic & Family Wellness Centre 23 Clara Dr, Suite 105, Mystic, CT 06355-1959 Ph: (860) 572-7711 | Coastal Chiropractic & Family Wellness Centre 23 Clara Dr, Suite 105, Mystic, CT 06355-1959 Ph: (860) 572-7711 |
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