Rossello Family Chiropractic, Pa | |
4000 Mitchellville Rd, Suite B122, Bowie, MD 20716-3104 | |
(301) 464-9400 | |
Not Available |
Full Name | Rossello Family Chiropractic, Pa |
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Type | Facility |
Speciality | Chiropractor |
Location | 4000 Mitchellville Rd, Bowie, Maryland |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1134348675 | NPI | - | NPPES |
J5880001 | Other | MD | CAREFIRST BCBS DC PROV # |
876235 | Other | MD | MAILHANDLERS PROV # |
452A | Other | MD | MD CAREFIRST PROV # |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | S01133 (Maryland) | Primary |
Provider Name | Diane G Rossello |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1861565343 PECOS PAC ID: 8820044126 Enrollment ID: I20050330000384 |
Mailing Address | Practice Location Address |
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Rossello Family Chiropractic, Pa 4000 Mitchellville Rd, Suite B122, Bowie, MD 20716-3104 Ph: (301) 464-9400 | Rossello Family Chiropractic, Pa 4000 Mitchellville Rd, Suite B122, Bowie, MD 20716-3104 Ph: (301) 464-9400 |
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Dr. Theodore W Taber, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 14300 Gallant Fox Ln, Suite 201, Bowie, MD 20715 Phone: 301-352-4500 Fax: 301-352-6510 | |
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