Ethan Frye, DC | |
306 5th St, Carrollton, IL 62016-1325 | |
(217) 942-6272 | |
Not Available |
Full Name | Ethan Frye |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 306 5th St, Carrollton, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033805817 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 038013973 (Illinois) | Primary |
Provider Name | Hamel Chiropractic Clinic Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1700148194 PECOS PAC ID: 4486803236 Enrollment ID: O20121011000201 |
Mailing Address | Practice Location Address |
---|---|
Ethan Frye, DC 306 5th St, Carrollton, IL 62016-1325 Ph: (217) 942-6272 | Ethan Frye, DC 306 5th St, Carrollton, IL 62016-1325 Ph: (217) 942-6272 |
Dr. Lisa A Hart, DC LAC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 307 6th St, Carrollton, IL 62016 Phone: 217-942-9069 Fax: 217-942-6769 | |
Dr. Justin Kyle Hamel, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 425 N Main St, Carrollton, IL 62016 Phone: 217-942-6272 | |
Frye Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 306 5th St, Carrollton, IL 62016 Phone: 217-942-6272 | |
Hamel Chiropractic Clinic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 425 N Main St, Carrollton, IL 62016 Phone: 217-942-6272 |