Basic Med Llc | |
6009 Landerhaven Dr Ste C-2, Mayfield Heights, OH 44124-4192 | |
(440) 442-3000 | |
Not Available |
Full Name | Basic Med Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 6009 Landerhaven Dr Ste C-2, Mayfield Heights, Ohio |
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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1740900026 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Ashley J Jackson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1578818548 PECOS PAC ID: 0840501367 Enrollment ID: I20150624001290 |
Provider Name | Bryon Jackson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1205133030 PECOS PAC ID: 6204207616 Enrollment ID: I20230124003025 |
Mailing Address | Practice Location Address |
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Basic Med Llc 6009 Landerhaven Dr Ste C-2, Mayfield Heights, OH 44124-4192 Ph: () - | Basic Med Llc 6009 Landerhaven Dr Ste C-2, Mayfield Heights, OH 44124-4192 Ph: (440) 442-3000 |
Dr. Byron Jackson I, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 6009 Landerhaven Dr, C2, Mayfield Heights, OH 44124 Phone: 770-714-1157 | |
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