| Reconnect Chiropractic & Sports Rehab | |
|
1106 Harris Ave Ste 308 Bellingham WA 98225-7002 | |
| (509) 421-4616 | |
| Not Available |
| Full Name | Reconnect Chiropractic & Sports Rehab |
|---|---|
| Speciality | Clinic/Center |
| Location | 1106 Harris Ave Ste 308, Bellingham, Washington |
| Authorized Official Name and Position | Daniel Agosta (OWNER/CHIROPRACTOR) |
| Authorized Official Contact | 5094214616 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reconnect Chiropractic & Sports Rehab 1106 Harris Ave Ste 308 Bellingham WA 98225-7002 Ph: (509) 421-4616 | Reconnect Chiropractic & Sports Rehab 1106 Harris Ave Ste 308 Bellingham WA 98225-7002 Ph: (509) 421-4616 |
| NPI Number | 1578335303 |
|---|---|
| Provider Enumeration Date | 10/25/2023 |
| Last Update Date | 11/12/2023 |
| Medicare PECOS PAC ID | 9537516372 |
|---|---|
| Medicare Enrollment ID | O20231115002949 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578335303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Daniel Agosta |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1275073884 PECOS PAC ID: 0446607287 Enrollment ID: I20231115002990 |
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