| Lakeside Chiropractic Pc | |
|
10633 State Highway 18, Conneaut Lake, PA 16316-3225 | |
| (814) 382-1970 | |
| (814) 382-3619 |
| Full Name | Lakeside Chiropractic Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 10633 State Highway 18, Conneaut Lake, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992713903 | NPI | - | NPPES |
| 350056097 | Other | PA | PALMETTO GBA |
| 350056097 | Other | PA | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Timothy B Vyrostek |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1003929308 PECOS PAC ID: 2860431202 Enrollment ID: I20050426000853 |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Chiropractic Pc 10633 State Highway 18, Conneaut Lake, PA 16316-3225 Ph: (814) 382-1970 | Lakeside Chiropractic Pc 10633 State Highway 18, Conneaut Lake, PA 16316-3225 Ph: (814) 382-1970 |
Dr. Timothy B Vyrostek, DC CCSP Chiropractor Medicare: Medicare Enrolled Practice Location: 10633 State Highway 18, Conneaut Lake, PA 16316 Phone: 814-382-1970 Fax: 814-382-3619 | |
Brett Alan Keyser, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 13245 Conneaut Lake Rd, Conneaut Lake, PA 16316 Phone: 814-382-8840 Fax: 814-382-8840 | |
Conneaut Lake Chiropractic, Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 13245 Conneaut Lake Rd, Conneaut Lake, PA 16316 Phone: 814-382-8840 Fax: 814-382-8840 |