Emily Kristen Scholl, DC | |
115 Sundance Pkwy Ste 505, Round Rock, TX 78681-7927 | |
(305) 766-2826 | |
Not Available |
Full Name | Emily Kristen Scholl |
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Gender | Female |
Speciality | Chiropractor |
Location | 115 Sundance Pkwy Ste 505, Round Rock, Texas |
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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1679159750 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 15282 (Texas) | Primary |
111N00000X | Chiropractor | 038.013693 (Illinois) | Secondary |
Provider Name | 4 Wellness Limited Liability Company |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205668316 PECOS PAC ID: 4587104799 Enrollment ID: O20240913001535 |
Mailing Address | Practice Location Address |
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Emily Kristen Scholl, DC 115 Sundance Pkwy Ste 505, Round Rock, TX 78681-7927 Ph: () - | Emily Kristen Scholl, DC 115 Sundance Pkwy Ste 505, Round Rock, TX 78681-7927 Ph: (305) 766-2826 |
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