| Bespoke Chiropractic Llc | |
|
413 High St, Waterford, PA 16441-8301 | |
| (814) 796-3535 | |
| (814) 796-3535 |
| Full Name | Bespoke Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 413 High St, Waterford, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558024661 | NPI | - | NPPES |
| DC011649 | Other | PA | PENNSYLVANIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Benjamin Thomas Bowler |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1477122794 PECOS PAC ID: 4789072125 Enrollment ID: I20211103003392 |
| Mailing Address | Practice Location Address |
|---|---|
| Bespoke Chiropractic Llc Po Box 457, Waterford, PA 16441-0457 Ph: (814) 796-3535 | Bespoke Chiropractic Llc 413 High St, Waterford, PA 16441-8301 Ph: (814) 796-3535 |
Dr. Kristine M. Nelson, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 413 High St, Waterford, PA 16441 Phone: 814-796-3535 Fax: 814-796-3535 | |
Dr. Luke T Pavkov, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 18 N Park Row, Waterford, PA 16441 Phone: 814-796-3300 | |
Ethan Moore, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 991 Route 19 N Ste C, Waterford, PA 16441 Phone: 814-679-6200 | |
Andrew L Pamer, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 9070 Peach St, Suite #1, Waterford, PA 16441 Phone: 814-866-1933 Fax: 814-866-1934 | |
Benjamin Bowler, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 413 High St, Waterford, PA 16441 Phone: 814-796-3535 Fax: 814-796-3535 | |
Heritage Chiropractic Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 18 N Park Row, Waterford, PA 16441 Phone: 814-796-0077 Fax: 814-796-1717 | |
Douglas P Lichtinger, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 212 High Street, Waterford, PA 16441 Phone: 814-796-9161 Fax: 814-796-1211 |