| Gholson Chiropractic Life & Health Ltd | |
|
1624 W Main St, Carmi, IL 62821-2235 | |
| (618) 384-3621 | |
| (618) 384-2908 |
| Full Name | Gholson Chiropractic Life & Health Ltd |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1624 W Main St, Carmi, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457458697 | NPI | - | NPPES |
| 038008660 | Medicaid | IL | |
| 09726159 | Other | IL | BLUE CROSS SHIELD IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038008660 (Illinois) | Primary |
| Provider Name | Travis R Gholson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1477659738 PECOS PAC ID: 9436242088 Enrollment ID: I20070912000603 |
| Mailing Address | Practice Location Address |
|---|---|
| Gholson Chiropractic Life & Health Ltd 1624 W Main St, Carmi, IL 62821-2235 Ph: (618) 384-2631 | Gholson Chiropractic Life & Health Ltd 1624 W Main St, Carmi, IL 62821-2235 Ph: (618) 384-3621 |
Carmi Chiropractic Clinic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1624 W Main St, Carmi, IL 62821 Phone: 618-384-2631 Fax: 618-384-2908 | |
Fred L. Smith Dcpc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 908 Oak St, Carmi, IL 62821 Phone: 618-382-4834 Fax: 618-382-7129 | |
Dr. Rhonda J Button, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4 Smith St, Carmi, IL 62821 Phone: 618-382-3337 | |
Dr. Dennis Loren Kay, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 908 Oak St, Carmi, IL 62821 Phone: 618-382-4834 | |
Dr. Patrick Scott Haskell, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 908 Oak St, Carmi, IL 62821 Phone: 618-384-8341 | |
Dr. Fred L Smith, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 908 Oak St, Carmi, IL 62821 Phone: 618-382-4834 Fax: 618-382-7129 |