Lebanon Chiropractic Clinic Pc | |
110 W Saint Louis St, Lebanon, IL 62254-1559 | |
(618) 537-4407 | |
Not Available |
Full Name | Lebanon Chiropractic Clinic Pc |
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Type | Facility |
Speciality | Chiropractor |
Location | 110 W Saint Louis St, Lebanon, Illinois |
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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1467500850 | NPI | - | NPPES |
634840 | Other | IL | MEDICARE |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Dale A Fischer |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1841294436 PECOS PAC ID: 8921195231 Enrollment ID: I20071102000667 |
Mailing Address | Practice Location Address |
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Lebanon Chiropractic Clinic Pc 110 W Saint Louis St, Lebanon, IL 62254-1559 Ph: (618) 537-4407 | Lebanon Chiropractic Clinic Pc 110 W Saint Louis St, Lebanon, IL 62254-1559 Ph: (618) 537-4407 |
Lebanon Healthcare Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 110 W Saint Louis St, Lebanon, IL 62254 Phone: 618-654-4520 Fax: 618-654-1063 | |
Dr. Dale A Fischer, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 110 W Saint Louis St, Lebanon, IL 62254 Phone: 618-537-4407 Fax: 618-537-4409 |