| Providence Iii, Llc | |
|
443 Hwy 109, Suite 103, Lebanon, TN 37090 | |
| (615) 715-1823 | |
| Not Available |
| Full Name | Providence Iii, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 443 Hwy 109, Suite 103, Lebanon, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538889852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Michael C Shaub |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1033421466 PECOS PAC ID: 8921288853 Enrollment ID: I20110210000378 |
| Provider Name | Ashlen Lincoln |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1962937631 PECOS PAC ID: 2860769247 Enrollment ID: I20190503000999 |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Iii, Llc 5512 Old Hickory Blvd, Hermitage, TN 37076-2576 Ph: (615) 942-7282 | Providence Iii, Llc 443 Hwy 109, Suite 103, Lebanon, TN 37090 Ph: (615) 715-1823 |
Dr. Ryan M. Stewart, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 525 W Main St, Lebanon, TN 37087 Phone: 615-449-6700 Fax: 615-449-0771 | |
Dr. Michael William Hanley, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1432 W Main St Ste 600, Lebanon, TN 37087 Phone: 615-424-3893 | |
Dr. William T Strauss, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 115 Castle Heights Ave N, Ste 104, Lebanon, TN 37087 Phone: 615-444-5335 | |
Dr. Ryan Dakota Moore, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1633 W Main St, Building 401, Lebanon, TN 37087 Phone: 615-444-2234 | |
Mrs. Tyroma Denise Rigsby, FNP Chiropractor Medicare: Medicare Enrolled Practice Location: 1123 N Castle Heights Ave, Lebanon, TN 37087 Phone: 615-449-4151 Fax: 615-449-1994 | |
Dr. Norma Jean Fisher Consiglio, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1606 W Main St, Lebanon, TN 37087 Phone: 615-443-0523 Fax: 615-453-3536 | |
Veloce Spine & Sport Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 101 Lealand Ln Ste C, Lebanon, TN 37087 Phone: 814-341-2128 |