Dr Wade Federspiel, DC | |
1027 Farmington Ave Ste 102, Farmington, CT 06032-1511 | |
(616) 915-4416 | |
Not Available |
Full Name | Dr Wade Federspiel |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 1027 Farmington Ave Ste 102, Farmington, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043603574 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 1932 (Connecticut) | Secondary |
111N00000X | Chiropractor | 001932 (Connecticut) | Primary |
Provider Name | One Spine At A Time |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1811642333 PECOS PAC ID: 3870973282 Enrollment ID: O20220701001080 |
Provider Name | Life Family Chiropractic Of Farmington Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558123604 PECOS PAC ID: 1951741396 Enrollment ID: O20240501003821 |
Mailing Address | Practice Location Address |
---|---|
Dr Wade Federspiel, DC 1027 Farmington Ave Ste 102, Farmington, CT 06032-1511 Ph: (616) 915-4416 | Dr Wade Federspiel, DC 1027 Farmington Ave Ste 102, Farmington, CT 06032-1511 Ph: (616) 915-4416 |
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