| Living Well Spine Center, Llc | |
|
1145 Channingway Dr., Fairborn, OH 45324 | |
| (937) 878-1071 | |
| (937) 878-2616 |
| Full Name | Living Well Spine Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1145 Channingway Dr., Fairborn, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225240088 | NPI | - | NPPES |
| 000000210783 | Other | OH | ANTHEM |
| 000000354540 | Other | OH | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1581 (Ohio) | Secondary |
| 111N00000X | Chiropractor | 3455 (Ohio) | Primary |
| Provider Name | James T Mccoskey |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1396967808 PECOS PAC ID: 3971416777 Enrollment ID: I20031113000388 |
| Provider Name | Angela Grace Manzanares |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1104587831 PECOS PAC ID: 4587056346 Enrollment ID: I20220128000258 |
| Mailing Address | Practice Location Address |
|---|---|
| Living Well Spine Center, Llc 1145 Channingway Dr., Fairborn, OH 45324 Ph: (937) 878-1071 | Living Well Spine Center, Llc 1145 Channingway Dr., Fairborn, OH 45324 Ph: (937) 878-1071 |
Angela Manzanares, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1145 Channingway Dr, Fairborn, OH 45324 Phone: 937-878-1071 | |
Shaffer Chiropractic Clinic Chiropractor Medicare: Medicare Enrolled Practice Location: 1038 Kauffman Ave, Fairborn, OH 45324 Phone: 937-878-8080 Fax: 937-878-7072 | |
Neff Chiropractic Inc. Chiropractor Medicare: Medicare Enrolled Practice Location: 601 N. Central Ave, Fairborn, OH 45324 Phone: 937-879-4262 Fax: 937-879-4250 | |
Dr. Andrew Burns, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1145 Channingway Dr, Fairborn, OH 45324 Phone: 937-878-1071 Fax: 937-878-2616 | |
Dr. James Mccoskey, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1145 Channingway Dr., Fairborn, OH 45324 Phone: 937-878-1071 Fax: 937-878-2616 | |
Nikohl Wulfsberg, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1347 Merribrook Ct, Fairborn, OH 45324 Phone: 260-242-0198 |