Mountainside Community Wellness Center

LBN: Mountainside Chiropractic
Mountainside Community Wellness Center is an health care organization with primary practice located at 321 Route 113 , East Thetford VT 05043. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Chiropractic Providers / Chiropractor is the primary health care specialty. Mountainside Chiropractic can be contacted via phone (802) 565-0424, or through Payne, Bonny R via phone (802) 565-0424.

Contact Information

Primary practice address
321 Route 113 East Thetford VT 05043
Phone: (802) 565-0424
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Payne, Bonny R
Phone: (802) 565-0424

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X

Profile Details

NPI number 1386235307
LBN Legal business name Mountainside Chiropractic
DBA Doing business as Mountainside Community Wellness Center
Authorized official Payne, Bonny R
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2021
Last updated Nov 5th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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