200 Chiro Christoffer, Llc | |
1738 Dayton Blvd Ste 114, Chattanooga, TN 37405-2188 | |
(719) 217-0895 | |
Not Available |
Full Name | 200 Chiro Christoffer, Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 1738 Dayton Blvd Ste 114, Chattanooga, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841962081 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Molly F Osibanjo |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1528578531 PECOS PAC ID: 2163786385 Enrollment ID: I20180515002582 |
Provider Name | Alycia Bowles |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1619512944 PECOS PAC ID: 8022422120 Enrollment ID: I20240506003143 |
Mailing Address | Practice Location Address |
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200 Chiro Christoffer, Llc 1738 Dayton Blvd Ste 114, Chattanooga, TN 37405-2188 Ph: () - | 200 Chiro Christoffer, Llc 1738 Dayton Blvd Ste 114, Chattanooga, TN 37405-2188 Ph: (719) 217-0895 |
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