Spine By Design Inc | |
121 Talcott Rd, West Hartford, CT 06110-1239 | |
(860) 606-7051 | |
Not Available |
Full Name | Spine By Design Inc |
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Type | Facility |
Speciality | Chiropractor |
Location | 121 Talcott Rd, West Hartford, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1942785423 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Mitchell Graham |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1962903492 PECOS PAC ID: 9739425315 Enrollment ID: I20190118001734 |
Mailing Address | Practice Location Address |
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Spine By Design Inc 121 Talcott Rd, West Hartford, CT 06110-1239 Ph: (860) 606-7051 | Spine By Design Inc 121 Talcott Rd, West Hartford, CT 06110-1239 Ph: (860) 606-7051 |
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