| Dr Wade Federspiel, DC | |
|
1027 Farmington Ave Ste 102, Farmington, CT 06032-1511 | |
| (616) 915-4416 | |
| Not Available |
| Full Name | Dr Wade Federspiel |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 1027 Farmington Ave Ste 102, Farmington, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043603574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1932 (Connecticut) | Secondary |
| 111N00000X | Chiropractor | 001932 (Connecticut) | Primary |
| Provider Name | One Spine At A Time |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1811642333 PECOS PAC ID: 3870973282 Enrollment ID: O20220701001080 |
| Provider Name | Life Family Chiropractic Of Farmington Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558123604 PECOS PAC ID: 1951741396 Enrollment ID: O20240501003821 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Wade Federspiel, DC 1027 Farmington Ave Ste 102, Farmington, CT 06032-1511 Ph: (616) 915-4416 | Dr Wade Federspiel, DC 1027 Farmington Ave Ste 102, Farmington, CT 06032-1511 Ph: (616) 915-4416 |
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