| Elizabeth A Fallert, DC | |
|
8415 W 108th St Apt C, Overland Park, KS 66210-1619 | |
| (913) 706-6929 | |
| Not Available |
| Full Name | Elizabeth A Fallert |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 8415 W 108th St Apt C, Overland Park, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568229615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4601 (Oklahoma) | Primary |
| Provider Name | 100 Chiro Lewis Peck Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1316717655 PECOS PAC ID: 4486095163 Enrollment ID: O20240513001339 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth A Fallert, DC 13100 North Pennsylvania Ave., Suite C, Oklahoma City, OK 73120 Ph: () - | Elizabeth A Fallert, DC 8415 W 108th St Apt C, Overland Park, KS 66210-1619 Ph: (913) 706-6929 |
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