Prime Health Chiropractic Wellness Center | |
234 E Ferguson Ave, Wood River, IL 62095-2002 | |
(618) 254-1100 | |
Not Available |
Full Name | Prime Health Chiropractic Wellness Center |
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Type | Facility |
Speciality | Chiropractor |
Location | 234 E Ferguson Ave, Wood River, 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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1679774699 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 38010941 (Illinois) | Primary |
Provider Name | Andrew G Carr |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1629282108 PECOS PAC ID: 1052419991 Enrollment ID: I20070531000268 |
Mailing Address | Practice Location Address |
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Prime Health Chiropractic Wellness Center 234 E Ferguson Ave, Wood River, IL 62095-2002 Ph: (618) 254-1100 | Prime Health Chiropractic Wellness Center 234 E Ferguson Ave, Wood River, IL 62095-2002 Ph: (618) 254-1100 |
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