| Derby Chiropractic Office Llc | |
|
111 New Haven Ave, Derby, CT 06418-2197 | |
| (203) 736-6356 | |
| Not Available |
| Full Name | Derby Chiropractic Office Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 111 New Haven Ave, Derby, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215488515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 001584 (Connecticut) | Primary |
| Provider Name | Karlos Boghosian |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1104999291 PECOS PAC ID: 9739137134 Enrollment ID: I20050111001106 |
| Mailing Address | Practice Location Address |
|---|---|
| Derby Chiropractic Office Llc 24 Lewis St, Hartford, CT 06103-2501 Ph: () - | Derby Chiropractic Office Llc 111 New Haven Ave, Derby, CT 06418-2197 Ph: (203) 736-6356 |
Dr. David Spadaro, D.C Chiropractor Medicare: Medicare Enrolled Practice Location: 111 New Haven Ave Ste 6, Derby, CT 06418 Phone: 203-736-6356 Fax: 203-308-2048 | |
Dr. Christopher Robert Chase, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 111 New Haven Ave, Derby, CT 06418 Phone: 203-736-6356 | |
Dr. Saul Jay Hochman, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 24 Derby Ave, Derby, CT 06418 Phone: 203-735-5555 Fax: 203-734-0447 |