| Dobson Chiropractic Center Pc | |
|
5529 W State Road 10, Demotte, IN 46310-8799 | |
| (219) 987-7746 | |
| (219) 987-7749 |
| Full Name | Dobson Chiropractic Center Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Sports Physician |
| Location | 5529 W State Road 10, Demotte, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619191707 | NPI | - | NPPES |
| 100143220 | Medicaid | IN | |
| 000000318182 | Other | IN | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NS0005X | Chiropractor - Sports Physician | 08001363 (Indiana) | Primary |
| Provider Name | Mark J Dobson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083765259 PECOS PAC ID: 6103871116 Enrollment ID: I20050316000207 |
| Provider Name | Daron Keith Lynch |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1669726568 PECOS PAC ID: 9830328723 Enrollment ID: I20140219001439 |
| Provider Name | Breanne K Chevrette |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922640994 PECOS PAC ID: 9234564170 Enrollment ID: I20200122002744 |
| Mailing Address | Practice Location Address |
|---|---|
| Dobson Chiropractic Center Pc 5529 W State Road 10, Demotte, IN 46310-8799 Ph: (219) 987-7746 | Dobson Chiropractic Center Pc 5529 W State Road 10, Demotte, IN 46310-8799 Ph: (219) 987-7746 |
Dr. Mark John Dobson, D.C Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 5529 W State Road 10, Demotte, IN 46310 Phone: 219-987-7746 Fax: 219-987-7749 | |
Dr. Kevin John Defries, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 5529 W State Road 10, Po 238, Demotte, IN 46310 Phone: 219-987-7333 Fax: 219-987-7749 | |
Jasper County Chiropractic, Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 701 South Halleck Street, Demotte, IN 46310 Phone: 219-987-3366 Fax: 219-987-3366 | |
Dr. Daron Keith Lynch, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 5529 W State Road 10, Demotte, IN 46310 Phone: 219-987-7746 | |
Breanne Kristy Chevrette, Chiropractor Medicare: Medicare Enrolled Practice Location: 5844 W State Road 10, Demotte, IN 46310 Phone: 219-987-7746 |