| Roan Family Chiropractic | |
|
105 Washington St, Suite 4, North Easton, MA 02356-1100 | |
| (508) 230-2323 | |
| (508) 230-8223 |
| Full Name | Roan Family Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 105 Washington St, North Easton, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982989539 | NPI | - | NPPES |
| 0014054 | Other | MA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3246 (Massachusetts) | Primary |
| 111N00000X | Chiropractor | 3353 (Massachusetts) | Secondary |
| Provider Name | Andrea Wuotila |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1659604171 PECOS PAC ID: 9335280551 Enrollment ID: I20100111000432 |
| Provider Name | Todd H Zuelzke |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1891077202 PECOS PAC ID: 5799945853 Enrollment ID: I20120327000663 |
| Mailing Address | Practice Location Address |
|---|---|
| Roan Family Chiropractic 285 Washington St Ste 4, North Easton, MA 02356-1117 Ph: (508) 230-2323 | Roan Family Chiropractic 105 Washington St, Suite 4, North Easton, MA 02356-1100 Ph: (508) 230-2323 |
Dr. Eugene Leslie Packer, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 111 Washington St, North Easton, MA 02356 Phone: 508-238-0183 Fax: 508-238-3885 | |
Dr. Andrea Lynne Wuotila, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 105 Washington St, Ste 4, North Easton, MA 02356 Phone: 781-255-7080 | |
Dr. Todd Howard Zuelzke, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 105 Washington St, North Easton, MA 02356 Phone: 508-230-2323 Fax: 508-230-8223 | |
Roan Family Chiropractic, Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 105 Washington St, Suite #4, North Easton, MA 02356 Phone: 508-230-2323 Fax: 508-230-8223 |