| Clark Chiropractic Center | |
|
500 San Juan St, Trinidad, CO 81082-2517 | |
| (719) 845-0001 | |
| Not Available |
| Full Name | Clark Chiropractic Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 500 San Juan St, Trinidad, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629281001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Eric M Clark |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1780751453 PECOS PAC ID: 9739088501 Enrollment ID: I20040507000456 |
| Provider Name | Monty M Mcgowen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1043362817 PECOS PAC ID: 3274432042 Enrollment ID: I20120126000202 |
| Provider Name | Brittany Jauernig |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1174054928 PECOS PAC ID: 3375829229 Enrollment ID: I20191217001536 |
| Mailing Address | Practice Location Address |
|---|---|
| Clark Chiropractic Center 500 San Juan St, Trinidad, CO 81082-2517 Ph: (719) 845-0001 | Clark Chiropractic Center 500 San Juan St, Trinidad, CO 81082-2517 Ph: (719) 845-0001 |
Fisher's Peak Chiropractic Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 165 E First St, Trinidad, CO 81082 Phone: 719-846-4990 Fax: 719-846-3505 | |
Mark B Tieszen, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1122 E First St, Trinidad, CO 81082 Phone: 719-859-1184 | |
Dr. Angela Kathryn Bumstead, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 500 San Juan St, Trinidad, CO 81082 Phone: 719-845-0001 Fax: 719-845-8882 | |
Tieszen Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 1122 E First St, Trinidad, CO 81082 Phone: 719-859-1184 | |
Mountain Family Wellness, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 500 San Juan St, Trinidad, CO 81082 Phone: 719-845-0001 | |
Eric M Clark, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 500 San Juan St, Trinidad, CO 81082 Phone: 719-845-0001 Fax: 719-845-8882 |