Dr Glenn R Ezell, DC | |
2201 1st Capitol Dr Ste 101, Saint Charles, MO 63301-5805 | |
(636) 485-6661 | |
(636) 916-0668 |
Full Name | Dr Glenn R Ezell |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 2201 1st Capitol Dr Ste 101, Saint Charles, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942547062 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2013000467 (Missouri) | Primary |
Provider Name | Ezell Chiropractic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1982035440 PECOS PAC ID: 7416187810 Enrollment ID: O20140305000080 |
Mailing Address | Practice Location Address |
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Dr Glenn R Ezell, DC 2201 1st Capitol Dr Ste 101, Saint Charles, MO 63301-5805 Ph: (636) 485-6661 | Dr Glenn R Ezell, DC 2201 1st Capitol Dr Ste 101, Saint Charles, MO 63301-5805 Ph: (636) 485-6661 |
Andrew Rackovan, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 2621 Raymond Dr, Saint Charles, MO 63301 Phone: 636-946-2244 Fax: 636-946-6975 | |
Dr. Alec Barinholtz, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1398 S 5th St, Saint Charles, MO 63301 Phone: 636-947-4042 Fax: 636-947-7644 | |
Dr. Kirsten Leigh Leapley, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2230 Bluestone Dr, Saint Charles, MO 63303 Phone: 636-442-2257 | |
Elizabeth M Crumbaugh, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 3737 Elm St, Saint Charles, MO 63301 Phone: 636-329-4567 | |
Associated Physical Medicine Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1960 S Highway 94, Saint Charles, MO 63303 Phone: 636-925-1919 Fax: 636-925-0128 | |
Eric Michael Leitman, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1960 S Old Highway 94, Saint Charles, MO 63303 Phone: 636-925-1919 Fax: 636-435-6144 | |
Dr. Carolyn Griffin, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 222 S 2nd St, Saint Charles, MO 63301 Phone: 314-566-4282 |