Advanced Wellness Chiropractic, Pllc | |
135 Main Cross Street, Hawesville, KY 42348 | |
(270) 927-1000 | |
Not Available |
Full Name | Advanced Wellness Chiropractic, Pllc |
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Type | Facility |
Speciality | Chiropractor |
Location | 135 Main Cross Street, Hawesville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1912178260 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 5101 (Kentucky) | Primary |
Provider Name | Nicholas A Brockman |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1114105319 PECOS PAC ID: 0143306555 Enrollment ID: I20080326000309 |
Provider Name | Timothy Shane Vincent |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1396096129 PECOS PAC ID: 7618232281 Enrollment ID: I20180531002417 |
Provider Name | Breanna D Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588111983 PECOS PAC ID: 8224316450 Enrollment ID: I20180926003824 |
Mailing Address | Practice Location Address |
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Advanced Wellness Chiropractic, Pllc 135 Main Cross Street, Po Box 242, Hawesville, KY 42348 Ph: () - | Advanced Wellness Chiropractic, Pllc 135 Main Cross Street, Hawesville, KY 42348 Ph: (270) 927-1000 |
Nicholas Adam Brockman, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 135 Main Cross St, Hawesville, KY 42348 Phone: 270-927-1000 Fax: 270-927-1077 |