| Professional Chiropractic Office Llc | |
|
1919 65th Ave Unit A, Greeley, CO 80634-7965 | |
| (970) 353-5300 | |
| (970) 353-5332 |
| Full Name | Professional Chiropractic Office Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1919 65th Ave Unit A, Greeley, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902075898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1689 (Colorado) | Primary |
| Provider Name | Gary M Wiedeman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205855509 PECOS PAC ID: 3274505433 Enrollment ID: I20040809000599 |
| Provider Name | Tanner Colby Johnson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1285039321 PECOS PAC ID: 2264757012 Enrollment ID: I20150219000542 |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Chiropractic Office Llc 1919 65th Ave Unit A, Greeley, CO 80634-7965 Ph: (970) 353-5300 | Professional Chiropractic Office Llc 1919 65th Ave Unit A, Greeley, CO 80634-7965 Ph: (970) 353-5300 |
Dr. Denny Glen Williams, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1023 39th Ave, Suite M, Greeley, CO 80634 Phone: 970-304-0260 Fax: 970-304-0253 | |
Accelerated Rehab Therapy Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2928 W 10th St, Suite 101, Greeley, CO 80634 Phone: 970-352-7848 Fax: 970-352-2217 | |
Cody Chiropractic, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5750 W 10th St, Suite F, Greeley, CO 80634 Phone: 970-353-2417 | |
Dr. Tyler Terry, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2839 35th Ave Unit C, Greeley, CO 80634 Phone: 970-616-8111 Fax: 970-616-8222 | |
Dr. Craig A Smith, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 1823 65th Ave, Suite3, Greeley, CO 80634 Phone: 970-352-7676 Fax: 970-352-2006 | |
Roland Dario Martinez, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1023 39th Ave Ste B, Greeley, CO 80634 Phone: 970-351-0627 Fax: 970-351-7950 | |
Dr. Audrey Celine Lefler, B.S., D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1023 39th Ave, Suite F, Greeley, CO 80634 Phone: 970-631-4141 Fax: 970-351-7950 |