| Spinal Healthcare And Physical Medicine Llc | |
|
108 Landin Rd New Haven IN 46774-1168 | |
| (260) 493-6565 | |
| (260) 493-6567 |
| Full Name | Spinal Healthcare And Physical Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 108 Landin Rd, New Haven, Indiana |
| Authorized Official Name and Position | Stephen H Glassley (MANAGER) |
| Authorized Official Contact | 2604936565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spinal Healthcare And Physical Medicine Llc 108 Landin Rd New Haven IN 46774-1168 Ph: (260) 493-6565 | Spinal Healthcare And Physical Medicine Llc 108 Landin Rd New Haven IN 46774-1168 Ph: (260) 493-6565 |
| NPI Number | 1437436045 |
|---|---|
| Provider Enumeration Date | 11/10/2011 |
| Last Update Date | 11/10/2011 |
| Medicare PECOS PAC ID | 0941475354 |
|---|---|
| Medicare Enrollment ID | O20111214000287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437436045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01018040A (Indiana) | Primary |
| Provider Name | Susan L Bosler |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1801882188 PECOS PAC ID: 8921287251 Enrollment ID: I20110119000565 |
Genesis Eldercare Physicians Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Daly Dr, New Haven, IN 46774 Phone: 260-749-0413 | |
Brooklyn Medical Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1302 Minnich Rd, New Haven, IN 46774 Phone: 260-747-6171 |