Envive Brandon Prof Llc | |
220 E Holly Blvd, Brandon, SD 57005-1171 | |
(605) 582-3944 | |
(605) 582-3698 |
Full Name | Envive Brandon Prof Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 220 E Holly Blvd, Brandon, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023502168 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Phillip Myles Dixon |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1194705822 PECOS PAC ID: 2668656109 Enrollment ID: I20110407000807 |
Mailing Address | Practice Location Address |
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Envive Brandon Prof Llc 220 E Holly Blvd, Brandon, SD 57005-1171 Ph: (605) 582-3944 | Envive Brandon Prof Llc 220 E Holly Blvd, Brandon, SD 57005-1171 Ph: (605) 582-3944 |
Michael John Peterson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 125 E Holly Blvd, Brandon, SD 57005 Phone: 605-582-8800 | |
Paige Ward, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1302 E Rushmore Dr, Brandon, SD 57005 Phone: 605-583-6546 | |
Dr. Brian John Dozark, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 128 E Holly Blvd, Brandon, SD 57005 Phone: 605-582-8800 Fax: 605-582-8820 | |
Dr. Phillip Myles Dixon, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 220 E Holly Blvd, Brandon, SD 57005 Phone: 605-582-3944 Fax: 605-582-3698 | |
Dr. David Fitzgerald Ward, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1302 E Rushmore Dr, Brandon, SD 57005 Phone: 605-582-6546 | |
Dr. Michael Cody Huisman, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 117 E Holly Blvd, Brandon, SD 57005 Phone: 605-582-8800 Fax: 605-582-8820 |