| Conneaut Lake Chiropractic, Pc | |
|
13245 Conneaut Lake Rd, Conneaut Lake, PA 16316-6809 | |
| (814) 382-8840 | |
| (814) 382-8840 |
| Full Name | Conneaut Lake Chiropractic, Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 13245 Conneaut Lake Rd, Conneaut Lake, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396918215 | NPI | - | NPPES |
| 340625 | Other | PA | HIGHMARK BCBS |
| 0017865180003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC007703L (Pennsylvania) | Primary |
| Provider Name | Brett A Keyser |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083795801 PECOS PAC ID: 6204902182 Enrollment ID: I20080828000359 |
| Mailing Address | Practice Location Address |
|---|---|
| Conneaut Lake Chiropractic, Pc 13245 Conneaut Lake Rd, Conneaut Lake, PA 16316-6809 Ph: (814) 382-8840 | Conneaut Lake Chiropractic, Pc 13245 Conneaut Lake Rd, Conneaut Lake, PA 16316-6809 Ph: (814) 382-8840 |
Dr. Timothy B Vyrostek, DC CCSP Chiropractor Medicare: Medicare Enrolled Practice Location: 10633 State Highway 18, Conneaut Lake, PA 16316 Phone: 814-382-1970 Fax: 814-382-3619 | |
Brett Alan Keyser, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 13245 Conneaut Lake Rd, Conneaut Lake, PA 16316 Phone: 814-382-8840 Fax: 814-382-8840 | |
Lakeside Chiropractic Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 10633 State Highway 18, Conneaut Lake, PA 16316 Phone: 814-382-1970 Fax: 814-382-3619 |