Dr Luke Shillig, DC | |
41930 N Venture Dr Ste 110, Phoenix, AZ 85086-3858 | |
(623) 551-6677 | |
Not Available |
Full Name | Dr Luke Shillig |
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Gender | Male |
Speciality | Chiropractor |
Location | 41930 N Venture Dr Ste 110, Phoenix, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235838368 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 9259 (Arizona) | Primary |
Provider Name | Back To Health Chiropractic Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952624611 PECOS PAC ID: 5890826895 Enrollment ID: O20100707000389 |
Provider Name | Ascension Clinic Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841077633 PECOS PAC ID: 9133564339 Enrollment ID: O20240227004431 |
Mailing Address | Practice Location Address |
---|---|
Dr Luke Shillig, DC 41930 N Venture Dr Ste 110, Phoenix, AZ 85086-3858 Ph: (623) 551-6677 | Dr Luke Shillig, DC 41930 N Venture Dr Ste 110, Phoenix, AZ 85086-3858 Ph: (623) 551-6677 |
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