| Prohealth Chiropractic Center, Llc | |
|
1127 Tolland Turnpike, Suite 102, Manchester, CT 06042 | |
| (860) 432-7432 | |
| (860) 432-7432 |
| Full Name | Prohealth Chiropractic Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1127 Tolland Turnpike, Manchester, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306022496 | NPI | - | NPPES |
| C03898 | Other | GROUP MEDICARE | |
| 432191999 | Medicaid | ME | |
| ME1910 | Other | ME | MEDICARE PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 001722 (Connecticut) | Secondary |
| 111N00000X | Chiropractor | 001726 (Connecticut) | Primary |
| Provider Name | Jason Sousa |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1558439398 PECOS PAC ID: 5496833766 Enrollment ID: I20080428000257 |
| Mailing Address | Practice Location Address |
|---|---|
| Prohealth Chiropractic Center, Llc 1127 Tolland Turnpike, Suite 102, Manchester, CT 06042 Ph: (860) 432-7432 | Prohealth Chiropractic Center, Llc 1127 Tolland Turnpike, Suite 102, Manchester, CT 06042 Ph: (860) 432-7432 |
Dr. Steven Thiele, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 200 W Center St, Manchester, CT 06040 Phone: 203-204-2517 Fax: 860-643-9133 | |
Life Family Chiropractic Of Manchester Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 44 Purnell Pl, Manchester, CT 06040 Phone: 860-783-8826 | |
Dr. Matthew Chella, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 112 Spencer St Ste 3c, Manchester, CT 06040 Phone: 860-812-0333 Fax: 860-812-0353 | |
Chiropractic Family Health Center Of Manchester,llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 63 E Center St, Suite 2b, Manchester, CT 06040 Phone: 860-649-2225 Fax: 860-649-2220 | |
Dr. Robert W Stoker, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 375 Oakland St, Manchester, CT 06042 Phone: 860-646-7320 Fax: 860-646-7321 | |
Dr. Katrina Marie Neyer, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 63 E Center St Ste 2b, Manchester, CT 06040 Phone: 860-649-2225 Fax: 860-649-2220 |