| Jennifer M Huddleston | |
|
27 N Main St, Fort Loramie, OH 45845 | |
| (937) 295-2212 | |
| (937) 295-2214 |
| Full Name | Jennifer M Huddleston |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 27 N Main St, Fort Loramie, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326253576 | NPI | - | NPPES |
| 000000331712 | Other | OH | ANTHEM GROUP ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Charles R Huddleston |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1144319336 PECOS PAC ID: 1658360268 Enrollment ID: I20040618000362 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer M Huddleston Po Box 185, Fort Loramie, OH 45845-0185 Ph: (937) 295-2212 | Jennifer M Huddleston 27 N Main St, Fort Loramie, OH 45845 Ph: (937) 295-2212 |
Dr. Charles Huddleston, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 27 N Main St, Fort Loramie, OH 45845 Phone: 937-295-2212 Fax: 937-295-2214 | |
Dr. Dustin J. Detrick, D.C., L.C.P. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 406 South Main Street, Fort Loramie, OH 45845 Phone: 937-420-4000 Fax: 937-420-4001 | |
Detrick Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 406 South Main Street, Fort Loramie, OH 45845 Phone: 937-420-4000 Fax: 937-420-4001 |