| Synapse Brain & Spine Center Llc | |
|
19413 Jingle Shell Way Unit 2 Lewes DE 19958-6307 | |
| (908) 319-1446 | |
| Not Available |
| Full Name | Synapse Brain & Spine Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 19413 Jingle Shell Way Unit 2, Lewes, Delaware |
| Authorized Official Name and Position | Robert Waterson (OWNER) |
| Authorized Official Contact | 9083191446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Synapse Brain & Spine Center Llc 19413 Jingle Shell Way Unit 2 Lewes DE 19958-6307 Ph: (302) 200-7901 | Synapse Brain & Spine Center Llc 19413 Jingle Shell Way Unit 2 Lewes DE 19958-6307 Ph: (908) 319-1446 |
| NPI Number | 1710762786 |
|---|---|
| Provider Enumeration Date | 08/29/2023 |
| Last Update Date | 06/05/2024 |
| Medicare PECOS PAC ID | 7618322934 |
|---|---|
| Medicare Enrollment ID | O20231006000206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710762786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Robert Scott Waterson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1730840257 PECOS PAC ID: 8527413848 Enrollment ID: I20231006000287 |
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