| Renegade Performance Llc | |
|
418 S Keystone Ave, Sayre, PA 18840-1553 | |
| (570) 886-0385 | |
| Not Available |
| Full Name | Renegade Performance Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 418 S Keystone Ave, Sayre, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568901577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC011215 (Pennsylvania) | Primary |
| Provider Name | Holly S Snyder |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508364688 PECOS PAC ID: 9638504384 Enrollment ID: I20200127001875 |
| Provider Name | Ryan Anthony Mullen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1750881710 PECOS PAC ID: 5092141960 Enrollment ID: I20200213000078 |
| Mailing Address | Practice Location Address |
|---|---|
| Renegade Performance Llc 413 Seneca St, Sayre, PA 18840-1742 Ph: (607) 765-3281 | Renegade Performance Llc 418 S Keystone Ave, Sayre, PA 18840-1553 Ph: (570) 886-0385 |
Dr. Thomas S Annabel, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 189 South Keystone Ave, Sayre, PA 18840 Phone: 570-882-8388 Fax: 570-882-8488 | |
Kraft Family Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 117 W Lockhart St, Sayre, PA 18840 Phone: 570-888-6325 | |
Mr. Jason Robert Paulman, DC, PAC-C Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 | |
Dr. Duane Alan Danko, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2316 Elmira Street, Sayre, PA 18840 Phone: 570-888-9057 Fax: 570-888-5314 | |
Dr. Melissa Ann Oldroyd, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1790 Riverside Dr, Sayre, PA 18840 Phone: 315-414-6618 | |
Dr. Paul James Grego, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 106 S East St, Sayre, PA 18840 Phone: 607-215-2515 |