| Michael Dean Hummer, DC | |
|
16089 Jackson Rd, Mishawaka, IN 46544-9343 | |
| (574) 271-1771 | |
| Not Available |
| Full Name | Michael Dean Hummer |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 16089 Jackson Rd, Mishawaka, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700519949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 08003319A (Indiana) | Primary |
| Provider Name | Michael J Dibley Dc Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1861644676 PECOS PAC ID: 8224191028 Enrollment ID: O20090105000507 |
| Provider Name | Whole Body Chiropractic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497473409 PECOS PAC ID: 0547645327 Enrollment ID: O20220914002349 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Dean Hummer, DC 106 S Brook Ave, Mishawaka, IN 46544-3354 Ph: (574) 323-3271 | Michael Dean Hummer, DC 16089 Jackson Rd, Mishawaka, IN 46544-9343 Ph: (574) 271-1771 |
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Dr. Bryan C Glenn, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 535 Lincoln Way W, Mishawaka, IN 46544 Phone: 574-255-1716 | |
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