Dr Charles Robert Portwood, DC is a
Chiropractor based in Scott Afb, Illinois. Dr Charles Robert Portwood is licensed to practice in Missouri (license number 6006) and his current practice location is
310 W Losey St, Scott Afb, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 256-6267.
NPI number for Dr Charles Robert Portwood is 1689611576 and his current mailing address is 310 W Losey St, Scott Afb, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689611576.
Healthcare Provider's Profile
Full Name | Dr Charles Robert Portwood |
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Gender | Male |
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Speciality | Chiropractor |
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Location | 310 W Losey St, Scott Afb, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689611576
- Provider Enumeration Date: 06/01/2006
- Last Update Date: 08/07/2024
Medical Identifiers
Medical identifiers for Dr Charles Robert Portwood such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689611576 | NPI | - | NPPES |
OTH000 | Other | IL | CHIROPRACTIC PHYSICIAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 6006 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Charles Robert Portwood is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Charles Robert Portwood, DC 310 W Losey St, Scott Afb, IL 62225-5250 Ph: (618) 256-9355 | Dr Charles Robert Portwood, DC 310 W Losey St, Scott Afb, IL 62225-5250 Ph: (618) 256-6267 |
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