Jacob Thor Henricksen (NPI# 1194268771, PAC ID# 6305119793) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1194268771 |
| PAC ID by PECOS | 6305119793 |
| Professional Enrollment ID | I20170906003770 |
| Full Name | Jacob Thor Henricksen |
| Organization Legal Name | PRIMARY SPINE AND REHAB LLC |
| Address |
143 Hazard Ave Enfield CT 06082-4521 |
| Phone Number | 8607632225 |
| Gender | M |
| Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
| Graduation Year | 2016 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 0749229516 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 143 Hazard Ave, Enfield, CT 06082-4521 | 8607632225 | PRIMARY SPINE AND REHAB LLC |
| Organization Legal Name | PRIMARY SPINE AND REHAB LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Meier | Physical Therapy | Primary Spine and Rehab LLC | 143 Hazard Ave, Enfield, CT 06082-4521 |
| Katherine B Myers | Physical Therapy | Primary Spine and Rehab LLC | 143 Hazard Ave, Enfield, CT 06082-4521 |
| Street Address |
143 HAZARD AVE |
| City | ENFIELD |
| State | CT |
| Zip | 06082-4521 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin E Sadowski | Nurse Practitioner | 143 Hazard Ave, Enfield, CT 06082-4521 | |
| Jennifer L Meier | Physical Therapy | Primary Spine and Rehab LLC | 143 Hazard Ave, Enfield, CT 06082-4521 |
| Katherine B Myers | Physical Therapy | Primary Spine and Rehab LLC | 143 Hazard Ave, Enfield, CT 06082-4521 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kara Marie Sawyer | Nurse Practitioner | Springfield Medical Associates, Inc. | 701 Enfield St, Enfield, CT 06082-2961 |
| Julie Marie Wondolowski | Physician Assistant | Springfield Medical Associates, Inc. | 701 Enfield St, Enfield, CT 06082-2961 |
| Kaitlin Grant Pulito | Physician Assistant | Springfield Medical Associates, Inc. | 701 Enfield St, Enfield, CT 06082-2961 |
| Dominic Louis Demello | Rheumatology | Springfield Medical Associates, Inc. | 701 Enfield St, Enfield, CT 06082-2961 |
| Claudia Artime | Internal Medicine | Springfield Medical Associates, Inc. | 701 Enfield St, Enfield, CT 06082-2961 |
| Alana C Rebollo | Physician Assistant | Springfield Medical Associates, Inc. | 701 Enfield St, Enfield, CT 06082-2961 |
| Scott M Cato | Chiropractic | 701 Enfield St, Suite 170, Enfield, CT 06082-2961 | |
| Kyle A Richards | Cardiovascular Disease (cardiology) | Pioneer Valley Cardiology Associates, Inc | 701 Enfield St, Enfield, CT 06082-2961 |
| Thomas P Misiewicz | Optometry | 25 N Main St, Enfield, CT 06082-3327 | |
| Shadana Smith-grant | Nurse Practitioner | Mc Diagnostic of Connecticut PC | 875 Enfield St, Enfield, CT 06082-3617 |
| Find all physicians in zip 06082 | |||
| City | ENFIELD |
| Zip Code | 06082 |
| Specialty | CHIROPRACTIC |
| City + Specialty | ENFIELD + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.