Dr Shannon Marie Broderson, DC | |
74-5620 Palani Rd, Suite 102, Kailua Kona, HI 96740-3640 | |
(808) 329-7797 | |
(808) 329-2748 |
Full Name | Dr Shannon Marie Broderson |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 74-5620 Palani Rd, Kailua Kona, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194888552 | NPI | - | NPPES |
244327 | Other | HI | HMSA NUMBER |
H56328 | Other | HI | P-TAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC977 (Hawaii) | Primary |
Provider Name | Hogan And Broderson Chiropractic |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1255483954 PECOS PAC ID: 8325036643 Enrollment ID: O20040505000470 |
Mailing Address | Practice Location Address |
---|---|
Dr Shannon Marie Broderson, DC 74-5620 Palani Rd, Suite 102, Kailua Kona, HI 96740-3640 Ph: (808) 329-7797 | Dr Shannon Marie Broderson, DC 74-5620 Palani Rd, Suite 102, Kailua Kona, HI 96740-3640 Ph: (808) 329-7797 |
Miranda Family Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 75-5591 Palani Rd, Suite 207, Kailua Kona, HI 96740 Phone: 808-327-3070 | |
Howard M Martin Ii, LMT, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 77-6399 Nalani St, Suite 3, Kailua Kona, HI 96740 Phone: 808-327-9400 | |
Dr. Claire Beck, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 75-5591 Palani Rd Ste 2005, Kailua Kona, HI 96740 Phone: 808-430-0198 | |
Dr. Lisa M Di Natale, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 75-5699 Kopiko St, Kailua Kona, HI 96740 Phone: 808-329-5472 Fax: 808-331-1933 | |
Dr. Kevin Perrino, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 75-170 Hualalai Rd Ste B104, Kailua Kona, HI 96740 Phone: 808-331-1454 Fax: 808-331-1454 | |
Malama Chiropractic Clinic Chiropractor Medicare: Medicare Enrolled Practice Location: 74-5620 Palani Rd Ste 102, Kailua Kona, HI 96740 Phone: 808-329-7797 Fax: 808-329-2748 |