| Lakeshore Chiropractic Wellness Pllc | |
|
6778 Erie Rd, Derby, NY 14047-9672 | |
| (716) 947-5106 | |
| (716) 947-9329 |
| Full Name | Lakeshore Chiropractic Wellness Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 6778 Erie Rd, Derby, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396525002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Timothy Alan Smith |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1598743163 PECOS PAC ID: 3678641768 Enrollment ID: I20081002000186 |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Chiropractic Wellness Pllc 4711 Clark St, Hamburg, NY 14075-3905 Ph: (716) 947-5106 | Lakeshore Chiropractic Wellness Pllc 6778 Erie Rd, Derby, NY 14047-9672 Ph: (716) 947-5106 |
Derek Bell, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 7008 Erie Rd, Derby, NY 14047 Phone: 716-947-4950 Fax: 716-947-4994 | |
Joseph Schwartzott, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 7174 Erie Rd, Derby, NY 14047 Phone: 716-947-5106 | |
Dr. Timothy Alan Smith, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 7174 Erie Rd, Derby, NY 14047 Phone: 716-947-5106 Fax: 716-947-9329 | |
Donald Jordan Conrad, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 7060 Erie Rd, Suite 300, Derby, NY 14047 Phone: 716-947-0139 Fax: 716-947-0320 |