Decubellis Family Chiropractic | |
143 Westminster St, Suite 303, Providence, RI 02903-2017 | |
(401) 521-1900 | |
(401) 828-3003 |
Full Name | Decubellis Family Chiropractic |
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Type | Facility |
Speciality | Chiropractor |
Location | 143 Westminster St, Providence, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649335159 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Douglas M Decubellis |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1831394485 PECOS PAC ID: 8022008630 Enrollment ID: I20040515000224 |
Mailing Address | Practice Location Address |
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Decubellis Family Chiropractic 143 Westminster St, Suite 303, Providence, RI 02903-2017 Ph: (401) 521-1900 | Decubellis Family Chiropractic 143 Westminster St, Suite 303, Providence, RI 02903-2017 Ph: (401) 521-1900 |
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