| Edgerton Chiropractic Clinic Inc | |
|
7616 Brockway Rd, Brockway, MI 48097-3408 | |
| (810) 387-3342 | |
| (810) 387-3543 |
| Full Name | Edgerton Chiropractic Clinic Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 7616 Brockway Rd, Brockway, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144316266 | NPI | - | NPPES |
| 950G411160 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | BE006504 (Michigan) | Primary |
| Provider Name | Brent L Edgerton |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1265426308 PECOS PAC ID: 5698771806 Enrollment ID: I20061011000576 |
| Provider Name | Travis Tourjee |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1710423140 PECOS PAC ID: 6507149796 Enrollment ID: I20170214001414 |
| Provider Name | John Adam Preston |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467070268 PECOS PAC ID: 0042633885 Enrollment ID: I20200713000479 |
| Mailing Address | Practice Location Address |
|---|---|
| Edgerton Chiropractic Clinic Inc 7616 Brockway Rd, Brockway, MI 48097-3408 Ph: (810) 387-3342 | Edgerton Chiropractic Clinic Inc 7616 Brockway Rd, Brockway, MI 48097-3408 Ph: (810) 387-3342 |
Dr. Brent Lee Edgerton, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 7616 Brockway Rd, Brockway, MI 48097 Phone: 810-387-3342 Fax: 810-387-3543 | |
John Adam Preston, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 7616 Brockway Rd, Brockway, MI 48097 Phone: 810-387-3422 Fax: 810-387-3342 | |
Preston Chiropractic Clinic Chiropractor Medicare: Medicare Enrolled Practice Location: 7616 Brockway Rd, Brockway, MI 48097 Phone: 810-387-3342 Fax: 810-387-3543 |