| Mountainside Chiropractic | |
|
321 Route 113, East Thetford, VT 05043 | |
| (802) 565-0424 | |
| Not Available |
| Full Name | Mountainside Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 321 Route 113, East Thetford, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386235307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| Provider Name | David Charles Parella |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1275955114 PECOS PAC ID: 8820214299 Enrollment ID: I20140721000455 |
| Provider Name | Steven S Mustoe |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1689066300 PECOS PAC ID: 8123347937 Enrollment ID: I20150429001034 |
| Provider Name | Bonny Payne |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1740796523 PECOS PAC ID: 4385904085 Enrollment ID: I20210308000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Mountainside Chiropractic Po Box 154, East Thetford, VT 05043-0154 Ph: (802) 565-0424 | Mountainside Chiropractic 321 Route 113, East Thetford, VT 05043 Ph: (802) 565-0424 |
Dr. David Charles Parella, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 321 Route 113, East Thetford, VT 05043 Phone: 802-565-0424 Fax: 802-565-0424 |