Revelation Chiropractic Llc | |
2721 S College Ave Unit 4a, Fort Collins, CO 80525-2160 | |
(970) 377-2250 | |
(970) 377-2251 |
Full Name | Revelation Chiropractic Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 2721 S College Ave Unit 4a, Fort Collins, Colorado |
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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1003199779 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 6674 (Colorado) | Primary |
Provider Name | Chad H Mcmahan |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1689962391 PECOS PAC ID: 3870768336 Enrollment ID: I20111212000377 |
Mailing Address | Practice Location Address |
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Revelation Chiropractic Llc 2721 S College Ave Unit 4a, Fort Collins, CO 80525-2160 Ph: (970) 377-2250 | Revelation Chiropractic Llc 2721 S College Ave Unit 4a, Fort Collins, CO 80525-2160 Ph: (970) 377-2250 |
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