| Olde Towne Wellness Llc | |
|
515 S Sycamore St, Petersburg, VA 23803-5037 | |
| (804) 733-8377 | |
| (804) 733-8459 |
| Full Name | Olde Towne Wellness Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 515 S Sycamore St, Petersburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144388315 | NPI | - | NPPES |
| 418235 | Other | VA | SOUTHERN HEALTH |
| 191798 | Other | VA | ANTHEM |
| 640-504 | Other | VA | UNITED HEATH CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 0104001801 (Virginia) | Primary |
| Provider Name | Thomas J Hennessey |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1285792424 PECOS PAC ID: 4183606023 Enrollment ID: I20040603001040 |
| Mailing Address | Practice Location Address |
|---|---|
| Olde Towne Wellness Llc 515 S Sycamore St, Petersburg, VA 23803-5037 Ph: (804) 733-8377 | Olde Towne Wellness Llc 515 S Sycamore St, Petersburg, VA 23803-5037 Ph: (804) 733-8377 |
Dr. Thomas James Hennessey, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 515 S Sycamore St, Petersburg, VA 23803 Phone: 804-733-8377 Fax: 804-733-8459 | |
Chiro One Wellness Center Of Petersburg Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 34 Medical Park Blvd Ste C, Petersburg, VA 23805 Phone: 804-862-2255 | |
Dr. Paul Eric Tschetschot, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 34 Medical Park Blvd, Suite C, Petersburg, VA 23805 Phone: 804-862-2255 Fax: 804-862-1004 | |
Dr. Shawn Edward Harper, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 320 S Sycamore St, Petersburg, VA 23803 Phone: 571-265-9323 | |
Healthsource Chiropractic & Progressive Rehab Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 34 Medical Park Blvd Ste C, Petersburg, VA 23805 Phone: 804-862-2255 Fax: 804-862-1004 |