| Rebel Chiropractic Llc | |
|
1222 Pray Blvd Ste 1, Waterville, OH 43566-8717 | |
| (419) 878-8142 | |
| (419) 878-8143 |
| Full Name | Rebel Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1222 Pray Blvd Ste 1, Waterville, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104368026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1201 (Ohio) | Primary |
| Provider Name | Jon W Schwanz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1407833817 PECOS PAC ID: 1355484817 Enrollment ID: I20100205000149 |
| Provider Name | Jon T Schwanz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1609133412 PECOS PAC ID: 6608030036 Enrollment ID: I20120614000183 |
| Provider Name | Allison Marie Gouker |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1275001091 PECOS PAC ID: 4789920794 Enrollment ID: I20190111002827 |
| Provider Name | Dustin Peper |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932728417 PECOS PAC ID: 4385074111 Enrollment ID: I20200420000865 |
| Mailing Address | Practice Location Address |
|---|---|
| Rebel Chiropractic Llc 1222 Pray Blvd Ste 1, Waterville, OH 43566-8717 Ph: (419) 878-8142 | Rebel Chiropractic Llc 1222 Pray Blvd Ste 1, Waterville, OH 43566-8717 Ph: (419) 878-8142 |
Waterville Chiropractic Clinic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 216 South St, Waterville, OH 43566 Phone: 419-878-8142 | |
Allison Marie Gouker, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1222 Pray Blvd, Waterville, OH 43566 Phone: 419-878-8142 Fax: 419-878-8143 | |
Dr. Jon W Schwanz, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 1222 Pray Blvd Ste 1, Waterville, OH 43566 Phone: 419-878-8142 Fax: 419-878-8143 | |
Dr. Jon Tyler Schwanz, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1222 Pray Blvd Ste 1, Waterville, OH 43566 Phone: 419-878-8142 Fax: 419-878-8143 | |
Anderson Family Chiropractic, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 751 Michigan Ave, Waterville, OH 43566 Phone: 419-878-8312 Fax: 419-878-8844 | |
Dr. Dustin Peper, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1222 Pray Blvd Ste 1, Waterville, OH 43566 Phone: 419-878-8142 |