Dr Michael Anthony Villanueva, DC | |
6050 Sterling Creek Rd, Portage, IN 46368-7752 | |
(219) 763-8112 | |
(219) 763-7245 |
Full Name | Dr Michael Anthony Villanueva |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 6050 Sterling Creek Rd, Portage, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083768527 | NPI | - | NPPES |
200885270 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 08002310A (Indiana) | Primary |
Provider Name | Northshore Health Centers Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1114257300 PECOS PAC ID: 5799671236 Enrollment ID: O20040827000220 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Anthony Villanueva, DC Po Box 1430, Portage, IN 46368-9230 Ph: (219) 763-8112 | Dr Michael Anthony Villanueva, DC 6050 Sterling Creek Rd, Portage, IN 46368-7752 Ph: (219) 763-8112 |
Melissa Jean Duvall, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368 Phone: 219-763-8112 | |
Dr. Daniel Raleigh Dewar, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368 Phone: 219-763-8112 Fax: 219-763-7245 | |
Dependable Chiropractic, P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6062 Lute Rd, Portage, IN 46368 Phone: 219-763-7000 Fax: 219-763-7770 | |
Community Chiropractic Spine Center Chiropractor Medicare: Medicare Enrolled Practice Location: 6325 Central Avenue, Portage, IN 46368 Phone: 219-763-7970 Fax: 219-762-5338 | |
Community Chiropractic-portage, P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6325 Central Ave, Portage, IN 46368 Phone: 219-763-7970 Fax: 219-762-5338 | |
Dr. David John Cryderman, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6325 Central Ave, Portage, IN 46368 Phone: 219-763-7970 Fax: 219-762-5338 |