Modern Spine Health and Injury Care LLC
NPI 1205536935ActiveOrganization· Chiropractor· Bethel, CT
Chiropractor in Bethel, Connecticut, registered in NPPES in March 2023. The authorized official on file is Richard Wilson, DC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1205536935 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 10, 2023 |
| Last updated in NPPES | Mar 10, 2023 |
| Certified by provider | Mar 10, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CT) |
|---|
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