| Riverside Wellness Center, Pllc | |
|
630 Main St, Gorham, NH 03581-4900 | |
| (603) 752-7727 | |
| (603) 752-2820 |
| Full Name | Riverside Wellness Center, Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 630 Main St, Gorham, New Hampshire |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629219241 | NPI | - | NPPES |
| 30257098 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 282-0397 (New Hampshire) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Wellness Center, Pllc 630 Main St, Gorham, NH 03581-4900 Ph: (603) 752-7727 | Riverside Wellness Center, Pllc 630 Main St, Gorham, NH 03581-4900 Ph: (603) 752-7727 |
Dr. Charles M Sidell, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 630 Main St, Gorham, NH 03581 Phone: 603-752-7727 Fax: 603-752-2820 | |
Sue Ann Sidell Dc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 630 Main St, Gorham, NH 03581 Phone: 603-752-7727 Fax: 603-752-2820 |