Jacksonville Chiropractic Center | |
14307 Jarrettsville Pike, Phoenix, MD 21131-1763 | |
(410) 592-7300 | |
(410) 666-0348 |
Full Name | Jacksonville Chiropractic Center |
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Type | Facility |
Speciality | Chiropractor |
Location | 14307 Jarrettsville Pike, Phoenix, Maryland |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1649448374 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | S01332 (Maryland) | Primary |
Provider Name | Daniel T Wise |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1700903390 PECOS PAC ID: 6204851975 Enrollment ID: I20051011001189 |
Mailing Address | Practice Location Address |
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Jacksonville Chiropractic Center Po Box 38, 14307 Jarrettsville Pike, Phoenix, MD 21131-0038 Ph: (410) 592-7300 | Jacksonville Chiropractic Center 14307 Jarrettsville Pike, Phoenix, MD 21131-1763 Ph: (410) 592-7300 |
Dr. Maria Yiassemides, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3421 Sweet Air Rd, Suite 5, Phoenix, MD 21131 Phone: 410-628-0010 Fax: 410-628-4837 | |
Daniel Thomas Wise, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 14307 Jarrettsville Pike, Phoenix, MD 21131 Phone: 410-592-7300 Fax: 410-666-0348 | |
Dr. Maria Yiassemides, P.a. Chiropractor Medicare: Medicare Enrolled Practice Location: 3421 Sweet Air Rd, Suite 5, Phoenix, MD 21131 Phone: 410-628-0010 Fax: 410-628-4837 |