Crossroads Wellness Center, Llc | |
9206 Lima Rd, Fort Wayne, IN 46818-1806 | |
(260) 445-8389 | |
Not Available |
Full Name | Crossroads Wellness Center, Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 9206 Lima Rd, Fort Wayne, Indiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1720506413 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 08002725A (Indiana) | Primary |
Provider Name | Caleb Parker Suciu |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1609209691 PECOS PAC ID: 7214276302 Enrollment ID: I20190307001867 |
Provider Name | Spencer Reece Brauchla |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1164053773 PECOS PAC ID: 7012323249 Enrollment ID: I20210312000186 |
Mailing Address | Practice Location Address |
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Crossroads Wellness Center, Llc 9206 Lima Rd, Fort Wayne, IN 46818-1806 Ph: (260) 445-8389 | Crossroads Wellness Center, Llc 9206 Lima Rd, Fort Wayne, IN 46818-1806 Ph: (260) 445-8389 |
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