Dr John L Procopio, DC | |
2617 45th St, Highland, IN 46322-2902 | |
(219) 924-4457 | |
(219) 924-7301 |
Full Name | Dr John L Procopio |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 35 Years |
Location | 2617 45th St, Highland, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013914860 | NPI | - | NPPES |
90000629 | Other | IL | BLUECROSSBLUESHIELD ID# |
000000089157 | Other | IN | ANTHEM PROVIDER NUMBER |
35-1865859 | Other | IN | TAX ID |
100148230A | Medicaid | IN | |
4667347 | Other | IN | AETNA PROVIDER # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 08001186A (Indiana) | Primary |
Provider Name | Pro Enterprises, P.c. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1366573537 PECOS PAC ID: 7911183587 Enrollment ID: O20111219000183 |
Mailing Address | Practice Location Address |
---|---|
Dr John L Procopio, DC 2625 45th St, Highland, IN 46322-2902 Ph: (219) 924-4457 | Dr John L Procopio, DC 2617 45th St, Highland, IN 46322-2902 Ph: (219) 924-4457 |
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