Provider Demographics
NPI:1457020869
Name:ABC HEALTH SERVICES INC
Entity Type:Organization
Organization Name:ABC HEALTH SERVICES INC
Other - Org Name:BAZIN CHIROPRACTIC OFFICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:NORDBECK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:860-924-3333
Mailing Address - Street 1:75 HAZARD AVE STE F
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06082-3887
Mailing Address - Country:US
Mailing Address - Phone:860-924-3333
Mailing Address - Fax:413-525-6839
Practice Address - Street 1:75 HAZARD AVE STE F
Practice Address - Street 2:
Practice Address - City:ENFIELD
Practice Address - State:CT
Practice Address - Zip Code:06082-3887
Practice Address - Country:US
Practice Address - Phone:860-924-3333
Practice Address - Fax:413-525-6839
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABC HEALTH SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-09-09
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty