Lake Gregory Chiropractic | |
580 Forest Shade, Suite 4, Crestline, CA 92325-0989 | |
(909) 338-6477 | |
(909) 338-1639 |
Full Name | Lake Gregory Chiropractic |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 580 Forest Shade, Crestline, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467583963 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC 17037 (California) | Primary |
Provider Name | John Bueler |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1619958147 PECOS PAC ID: 4284650276 Enrollment ID: I20051019000439 |
Provider Name | Misty Rhiannon Hutton |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1588020499 PECOS PAC ID: 0941655203 Enrollment ID: I20231006002065 |
Mailing Address | Practice Location Address |
---|---|
Lake Gregory Chiropractic Po Box 989, Crestline, CA 92325-0989 Ph: (909) 338-6477 | Lake Gregory Chiropractic 580 Forest Shade, Suite 4, Crestline, CA 92325-0989 Ph: (909) 338-6477 |
Dr. Misty Rhiannon Hutton, DC, MAOM, LAC Chiropractor Medicare: Medicare Enrolled Practice Location: 25268 Ca-18, Crestline, CA 92325 Phone: 909-338-6477 | |
Dr. John Bueler Jr., DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 580 Forest Shade, #4, Crestline, CA 92325 Phone: 909-338-6477 Fax: 909-338-1639 |