Dr Austin G King, DC | |
229 Red Coach Dr Ste 6, Mishawaka, IN 46545-3195 | |
(574) 914-4866 | |
Not Available |
Full Name | Dr Austin G King |
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Gender | Male |
Speciality | Chiropractor |
Location | 229 Red Coach Dr Ste 6, Mishawaka, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063984235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2301010916 (Michigan) | Secondary |
111N00000X | Chiropractor | 08003220A (Indiana) | Primary |
Provider Name | Spine And Joint Associates Of Mishawaka Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609264795 PECOS PAC ID: 2163749524 Enrollment ID: O20150323002191 |
Provider Name | Spine And Joint Associates Of Plymouth Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558759654 PECOS PAC ID: 6406173350 Enrollment ID: O20150402001443 |
Mailing Address | Practice Location Address |
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Dr Austin G King, DC 606 Lynn Dr, Berrien Springs, MI 49103-1027 Ph: (269) 364-4459 | Dr Austin G King, DC 229 Red Coach Dr Ste 6, Mishawaka, IN 46545-3195 Ph: (574) 914-4866 |
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