Booth Chiropractic | |
55741 National Rd, Bridgeport, OH 43912-1528 | |
(740) 633-9922 | |
(740) 633-9924 |
Full Name | Booth Chiropractic |
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Type | Facility |
Speciality | Chiropractor |
Location | 55741 National Rd, Bridgeport, Ohio |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649449695 | NPI | - | NPPES |
013230100 | Medicaid | WV | |
2019701 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2480 (Ohio) | Primary |
Provider Name | Gerald C Booth |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1689732778 PECOS PAC ID: 9830273358 Enrollment ID: I20080222000141 |
Mailing Address | Practice Location Address |
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Booth Chiropractic 55741 National Rd, Bridgeport, OH 43912-1528 Ph: (740) 633-9922 | Booth Chiropractic 55741 National Rd, Bridgeport, OH 43912-1528 Ph: (740) 633-9922 |
Peter Eugene Perzanowski, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 300 Howard St, Ste 2, Bridgeport, OH 43912 Phone: 740-633-3161 Fax: 740-633-3161 | |
Dr. Gerald C Booth, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 55741 National Rd, Bridgeport, OH 43912 Phone: 740-633-9922 Fax: 740-633-9924 |