Fangman Family Chiropractic, P.c. | |
200 Se Gateway Dr Ste 103, Grimes, IA 50111-2182 | |
(511) 986-4003 | |
Not Available |
Full Name | Fangman Family Chiropractic, P.c. |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 200 Se Gateway Dr Ste 103, Grimes, Iowa |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043788565 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Samuel C Fangman |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1396212551 PECOS PAC ID: 7719221662 Enrollment ID: I20181203002939 |
Mailing Address | Practice Location Address |
---|---|
Fangman Family Chiropractic, P.c. 200 Se Gateway Dr Ste 103, Grimes, IA 50111-2182 Ph: (515) 986-4003 | Fangman Family Chiropractic, P.c. 200 Se Gateway Dr Ste 103, Grimes, IA 50111-2182 Ph: (511) 986-4003 |
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