FLEETWOOD CHIROPRACTIC PC (NPI# 1821282930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821282930 |
| Entity Type | Organization |
| Organization Name | FLEETWOOD CHIROPRACTIC PC |
| Practice Address |
25 E Broad St Mount Vernon NY 10552-2207 |
| Practice Telephone | 9146996770 |
| Practice Fax Number | 9146640090 |
| Mailing Telephone | 9146996770 |
| Mailing Fax Number | 9146640090 |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2007-08-31 |
| Authorized Official Name | DR. ROBERT ALAN RUSSELL JR. (PRESIDENT) |
| Authorized Official Telephone | 9146996770 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | X004166-1 | NY | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | X002707C-1 | NY | Chiropractic Providers |
| Street Address |
25 E BROAD ST |
| City | MOUNT VERNON |
| State | NY |
| Zip Code | 10552-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013541119 | Dawson Service Solution LLC | In Home Supportive Care | Sheridan Avenue, Mount Vernon, NY 10552 | 2020-02-27 |
| 1821648908 | Yvonne Euretta Thorpe-roswell | Technician | 457 North Columbus Avenue, Mount Vernon, NY 10552 | 2019-09-19 |
| 1598256539 | Professional Orthopedic and Sports Physical Therapy PC | Clinic/Center | 599 Gramatan Ave Ste 205, Fleetwood, NY 10552 | 2018-05-25 |
| 1346770096 | Tina Earle | Registered Nurse | 544 North Terrace Ave, Mt. Vernon, NY 10552 | 2017-06-15 |
| 1598200867 | Vivienne Iona Bartley | Nurse Practitioner | 115 Primrose Avenue, Mount Vernon, NY 10552 | 2016-12-22 |
| 1447702014 | Ilone Bajjo | Nurse Practitioner | 6 Lenox Ave, Mt. Vernon, NY 10552 | 2016-10-31 |
| 1023561578 | Angella D Brown | Registered Nurse | 180 Pearsole Drive, Apt D1e, Mt Vernon, NY 10552 | 2016-08-02 |
| 1053789479 | Julinnis Morales | Occupational Therapist | 72 Lexington Ave, Mount Vernon, NY 10552 | 2015-09-02 |
| 1053788760 | Kadisha Currie | Early Intervention Provider Agency | 161 Pearsall Drive 4d, Mount Vernon, NY 10552 | 2015-08-28 |
| 1679969968 | Nisha Murray | Behavioral Analyst | 21 W Devonia Ave, Mount Vernon, NY 10552 | 2015-04-13 |
| Find all providers in zip 10552 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1861902207 | Sarah Lisa Kotlerman | Chiropractor | 13103 Sunday Ln, Mount Vernon, WA 98273-8025 | 2017-10-11 |
| 1043677487 | Devin Jo Daniels | Chiropractor | 14580 Wooster Rd, Mount Vernon, OH 43050-9774 | 2016-01-15 |
| 1407269251 | Scott Aaron Brown | Chiropractor | 1600 Roosevelt Avenue, Suite A, Mount Vernon, WA 98273 | 2014-06-10 |
| 1144589920 | Hansen Chiropractic | Chiropractor | 1825 Riverside Dr Suite A, Mount Vernon, WA 98273-5412 | 2012-05-14 |
| 1457665606 | Lance M Potter Pllc | Chiropractor | 1933 Farm Road 115, Ste B, Mount Vernon, TX 75457-7434 | 2010-07-29 |
| 1407189434 | Kent Mcmahon | Chiropractor | 1009 S 42nd St Ste 2b, 2, Mount Vernon, IL 62864-6218 | 2009-09-09 |
| 1780815142 | A & E Chiropractic, Pllc | Chiropractor | 70 School St, Mount Vernon, KY 40456-2948 | 2009-08-04 |
| 1699916692 | Randi James Grafft | Chiropractor | 216 2nd St Sw, Mount Vernon, IA 52314-1630 | 2009-03-20 |
| 1568631505 | Jake Overholt | Chiropractor | 11 Woodlake Trl Ste B, Mount Vernon, OH 43050-8113 | 2008-02-25 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 10552 |
Please comment or provide details below to improve the information on FLEETWOOD CHIROPRACTIC PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.