| South Street Chiropractic Center | |
|
15 South St, Danbury, CT 06810-8147 | |
| (203) 794-1049 | |
| (203) 730-9721 |
| Full Name | South Street Chiropractic Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 15 South St, Danbury, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043489297 | NPI | - | NPPES |
| 50SOUTHSTCT01 | Other | CT | ANTHEM BLUE CROSS/BLUE SH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 487 (Connecticut) | Primary |
| 111N00000X | Chiropractor | 503 (Connecticut) | Secondary |
| Provider Name | Linda Porto |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1982744421 PECOS PAC ID: 2365604535 Enrollment ID: I20120510000006 |
| Provider Name | Thomas Mccarroll |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1992845440 PECOS PAC ID: 3274795448 Enrollment ID: I20120510000008 |
| Mailing Address | Practice Location Address |
|---|---|
| South Street Chiropractic Center 15 South St, Danbury, CT 06810-8147 Ph: (203) 794-1049 | South Street Chiropractic Center 15 South St, Danbury, CT 06810-8147 Ph: (203) 794-1049 |
Danbury Chiropractic And Wellness Corp Chiropractor Medicare: Medicare Enrolled Practice Location: 85 North St Unit 7, Danbury, CT 06810 Phone: 203-792-5982 Fax: 203-792-2091 | |
Dr. Adrian M Marcus, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 132 Federal Rd, Suite 103, Danbury, CT 06811 Phone: 203-918-8505 Fax: 203-778-0591 | |
Mariana Mangino Mangino Bryan, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 109 Newtown Rd., Danbury, CT 06810 Phone: 203-207-9840 Fax: 203-207-9849 | |
Dr. Michael P Kane, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 73 Sand Pit Rd Ste 204, Danbury, CT 06810 Phone: 203-212-8000 Fax: 860-261-0704 | |
Dr. Athena Marie Healy, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 132 Federal Rd, Suite 103, Danbury, CT 06811 Phone: 120-377-8222 Fax: 120-377-8059 | |
David Craig Waltzer, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 132 Federal Rd Ste 103, Danbury, CT 06811 Phone: 203-778-2225 Fax: 203-778-0591 |