Dr Stephen T Roush, DC | |
1500 Grand Central Ave Ste 108, Vienna, WV 26105-1079 | |
(304) 893-9586 | |
Not Available |
Full Name | Dr Stephen T Roush |
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Gender | Male |
Speciality | Chiropractor |
Location | 1500 Grand Central Ave Ste 108, Vienna, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1114495637 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | CHR.0007919 (Colorado) | Secondary |
111N00000X | Chiropractor | 1077 (West Virginia) | Primary |
Provider Name | Legacy Medical Centers Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013164623 PECOS PAC ID: 0749461481 Enrollment ID: O20110301000009 |
Mailing Address | Practice Location Address |
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Dr Stephen T Roush, DC 9240 Explorer Dr Ste 215, Colorado Springs, CO 80920-5006 Ph: () - | Dr Stephen T Roush, DC 1500 Grand Central Ave Ste 108, Vienna, WV 26105-1079 Ph: (304) 893-9586 |
Riverview Health Clinic, Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 1605 Grand Central Ave, Vienna, WV 26105 Phone: 304-295-5505 Fax: 304-295-0503 | |
Ermel F Harris Jr Dc Dba Grand Central Chiropractic Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1100 9th St, Unit G, Vienna, WV 26105 Phone: 304-295-4589 Fax: 304-295-6676 | |
New Era Health Co., Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 1500 Grand Central Ave Ste 108, Vienna, WV 26105 Phone: 304-893-9586 | |
Dr. Carl S Mccale, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1605 Grand Central Ave, Vienna, WV 26105 Phone: 304-295-5505 Fax: 304-295-0503 | |
Ermel Fleming Harris Jr., D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1100 9th St, Ste G, Vienna, WV 26105 Phone: 304-295-4589 Fax: 304-295-6676 | |
Cook Chiropractic, Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 906 Grand Central Ave Ste A, Vienna, WV 26105 Phone: 304-865-9355 |