| Eaton Chiropractic Inc | |
|
8690 W Pahs Rd, Michigan City, IN 46360-7666 | |
| (219) 872-5151 | |
| (219) 872-0177 |
| Full Name | Eaton Chiropractic Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 8690 W Pahs Rd, Michigan City, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972713477 | NPI | - | NPPES |
| 000000506158 | Other | IN | BCBS PROVIDER NUMBER |
| 1578569471 | Other | IN | INDIVIDUAL PROVIDER NPI |
| 08002127A | Other | IN | STATE LICENSE NUMBER |
| 200469660A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 08002127 (Indiana) | Primary |
| Provider Name | Matthew R Eaton |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1578569471 PECOS PAC ID: 0446237838 Enrollment ID: I20040702000773 |
| Provider Name | Erika Leigh Maroon |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861905499 PECOS PAC ID: 6204192065 Enrollment ID: I20171110000582 |
| Provider Name | Reilly D Enos |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1174260749 PECOS PAC ID: 7810374410 Enrollment ID: I20220520001394 |
| Mailing Address | Practice Location Address |
|---|---|
| Eaton Chiropractic Inc 8690 W Pahs Rd, Michigan City, IN 46360-7666 Ph: (219) 872-5151 | Eaton Chiropractic Inc 8690 W Pahs Rd, Michigan City, IN 46360-7666 Ph: (219) 872-5151 |
Dr. Brent Hicks, Chiropractor Medicare: Medicare Enrolled Practice Location: 501 W Kieffer Rd # 400n, Michigan City, IN 46360 Phone: 219-879-2177 | |
Dr. Justo Santos Samalio Iii, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 240 Commerce Sq, Michigan City, IN 46360 Phone: 210-872-2273 Fax: 219-872-5147 | |
Dr. Reilly D Enos, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 8690 W Pahs Rd, Michigan City, IN 46360 Phone: 219-872-5151 | |
Blake Olson, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 501 W Kieffer Rd, Michigan City, IN 46360 Phone: 219-879-2177 | |
Scott Turner Glidden, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8690 W Pahs Rd, Michigan City, IN 46360 Phone: 219-872-5151 Fax: 219-872-0177 | |
Ryan Johnston, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 501 W Kieffer Rd, Michigan City, IN 46360 Phone: 219-879-2177 | |
Dr. Matthew Robert Eaton, D.C Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 8690 W Pahs Rd, Michigan City, IN 46360 Phone: 219-872-5151 Fax: 219-872-0177 |