| Beavercreek Chiropractic Clinic Inc | |
|
1654 Mardon Dr, Beavercreek, OH 45432-1949 | |
| (937) 426-9265 | |
| (937) 426-9613 |
| Full Name | Beavercreek Chiropractic Clinic Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1654 Mardon Dr, Beavercreek, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073713533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 905 (Ohio) | Primary |
| 111N00000X | Chiropractor | 3166 (Ohio) | Secondary |
| Provider Name | Gregory P Palkowski |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1356444566 PECOS PAC ID: 1759315658 Enrollment ID: I20080829000367 |
| Provider Name | Olivia Stackhouse |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1851097000 PECOS PAC ID: 3476910068 Enrollment ID: I20230613003160 |
| Mailing Address | Practice Location Address |
|---|---|
| Beavercreek Chiropractic Clinic Inc 1654 Mardon Dr, Beavercreek, OH 45432-1949 Ph: (937) 426-9265 | Beavercreek Chiropractic Clinic Inc 1654 Mardon Dr, Beavercreek, OH 45432-1949 Ph: (937) 426-9265 |
Beavercreek Chiropractic & Injury Treatment Ctr., Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3060 Dayton Xenia Rd, Suite A, Beavercreek, OH 45434 Phone: 937-427-2225 Fax: 937-431-1722 | |
Hanley Chiropractic Healthcare Inc. Chiropractor Medicare: Medicare Enrolled Practice Location: 955 Factory Rd, Beavercreek, OH 45434 Phone: 937-426-4545 Fax: 937-426-4548 | |
Dr. Dylan Robert Black, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 3060 Dayton Xenia Rd Ste C, Beavercreek, OH 45434 Phone: 937-427-2225 Fax: 937-405-1078 | |
Dr. Mark Robin Roush, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3779 Dayton Xenia Rd, Beavercreek, OH 45432 Phone: 937-426-3608 | |
Clincare International Center Ltd Chiropractor Medicare: Medicare Enrolled Practice Location: 2416 Esquire Dr, Suite B, Beavercreek, OH 45431 Phone: 937-429-2422 Fax: 937-352-4111 | |
Garrett Funderburg, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 100 Apple Blossom Pl, Beavercreek, OH 45440 Phone: 937-422-7336 |