Omer Chiropractic Clinic Pc | |
501 Se 2nd St, Washington, IN 47501-4043 | |
(812) 254-0476 | |
(812) 254-0477 |
Full Name | Omer Chiropractic Clinic Pc |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 501 Se 2nd St, Washington, Indiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457540155 | NPI | - | NPPES |
200025970A | Medicaid | IN | |
000000184810 | Other | IN | ANTHEM BLUE CROSS BLUE SH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 08001596 (Indiana) | Primary |
Provider Name | Leslie Starr-omer |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1982794053 PECOS PAC ID: 5698855153 Enrollment ID: I20080109000638 |
Provider Name | Jason Omer |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1609964246 PECOS PAC ID: 2062592520 Enrollment ID: I20080122000443 |
Mailing Address | Practice Location Address |
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Omer Chiropractic Clinic Pc 501 Se 2nd St, Washington, IN 47501-4043 Ph: (812) 254-0476 | Omer Chiropractic Clinic Pc 501 Se 2nd St, Washington, IN 47501-4043 Ph: (812) 254-0476 |
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