Michelle Hippard, Dc, Ltd | |
212 S Jefferson St, Mascoutah, IL 62258-2421 | |
(618) 566-4144 | |
Not Available |
Full Name | Michelle Hippard, Dc, Ltd |
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Type | Facility |
Speciality | Chiropractor |
Location | 212 S Jefferson St, Mascoutah, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598153561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 038012735 (Illinois) | Primary |
Provider Name | Michelle Hippard |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1619375938 PECOS PAC ID: 7012233182 Enrollment ID: I20150309000199 |
Mailing Address | Practice Location Address |
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Michelle Hippard, Dc, Ltd 212 S Jefferson St, Mascoutah, IL 62258-2421 Ph: (618) 566-4144 | Michelle Hippard, Dc, Ltd 212 S Jefferson St, Mascoutah, IL 62258-2421 Ph: (618) 566-4144 |
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Dr. Michelle Hippard, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 212 S Jefferson St, Mascoutah, IL 62258 Phone: 618-566-4144 |