| Desired Health Chiropractic, Llc | |
|
530 N Middle St, Farmington, MO 63640-1570 | |
| (573) 756-6496 | |
| Not Available |
| Full Name | Desired Health Chiropractic, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 530 N Middle St, Farmington, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003016676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2007020754 (Missouri) | Primary |
| Provider Name | Adam P Overcast |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861692428 PECOS PAC ID: 4385731132 Enrollment ID: I20071026000214 |
| Provider Name | Abraham Ray Renaud |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1740756717 PECOS PAC ID: 7618210980 Enrollment ID: I20190530001452 |
| Mailing Address | Practice Location Address |
|---|---|
| Desired Health Chiropractic, Llc 530 N Middle St, Farmington, MO 63640-1570 Ph: (573) 756-6496 | Desired Health Chiropractic, Llc 530 N Middle St, Farmington, MO 63640-1570 Ph: (573) 756-6496 |
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