| Angela Baxter Llc | |
|
3313 Patriot Court, Herrin, IL 62948-3782 | |
| (618) 993-9910 | |
| (618) 993-2774 |
| Full Name | Angela Baxter Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3313 Patriot Court, Herrin, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265637755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038010854 (Illinois) | Primary |
| Provider Name | Angela Baxter |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1881743169 PECOS PAC ID: 4082716196 Enrollment ID: I20070220000650 |
| Provider Name | Taylor E Scott |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1366924599 PECOS PAC ID: 8820340813 Enrollment ID: I20181002001798 |
| Provider Name | Ryan Power |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1235746348 PECOS PAC ID: 4486065950 Enrollment ID: I20201204002237 |
| Provider Name | Bryce Bisching |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1548658974 PECOS PAC ID: 6608190251 Enrollment ID: I20210111000662 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Baxter Llc 3313 Patriot Court, Herrin, IL 62948-3782 Ph: (618) 993-9910 | Angela Baxter Llc 3313 Patriot Court, Herrin, IL 62948-3782 Ph: (618) 993-9910 |
Dr. Richard Daniel Smith, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3313 Patriot Court, Herrin, IL 62948 Phone: 618-993-9910 Fax: 618-993-2774 | |
Ryan Power, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3313 Patriot Ct, Herrin, IL 62948 Phone: 618-993-9910 | |
Dr. Taylor E Scott, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3313 Patriot Ct, Herrin, IL 62948 Phone: 618-993-9910 Fax: 618-993-2774 | |
Total Health Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 120 E Herrin St, Herrin, IL 62948 Phone: 618-988-9830 | |
Jonathon Serafini, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3313 Patriot Ct, Herrin, IL 62948 Phone: 618-993-9910 Fax: 618-993-2774 | |
Rubright Spinal Rehabilitation Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 905 S Park Ave, Herrin, IL 62948 Phone: 618-942-7376 Fax: 618-942-5321 |