| Reynoldsville Chiropractic Life Center, Llc | |
|
105 E Main St, Reynoldsville, PA 15851-1244 | |
| (814) 653-9514 | |
| (814) 653-8842 |
| Full Name | Reynoldsville Chiropractic Life Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 105 E Main St, Reynoldsville, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891104196 | NPI | - | NPPES |
| 1891104196 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC001679L (Pennsylvania) | Primary |
| Provider Name | Randy William Mccall |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508852088 PECOS PAC ID: 6305038696 Enrollment ID: I20101005000654 |
| Mailing Address | Practice Location Address |
|---|---|
| Reynoldsville Chiropractic Life Center, Llc 105 E Main St, Reynoldsville, PA 15851-1244 Ph: (814) 653-9514 | Reynoldsville Chiropractic Life Center, Llc 105 E Main St, Reynoldsville, PA 15851-1244 Ph: (814) 653-9514 |
Tara Brooke Centra, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 105 E Main St, Reynoldsville, PA 15851 Phone: 814-653-9514 Fax: 814-653-8842 | |
Dr. Randy William Mccall, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 105 E Main St, Reynoldsville, PA 15851 Phone: 814-653-9514 Fax: 814-653-8842 | |
Nicholas Angelo Centra, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 105 E Main St, Reynoldsville, PA 15851 Phone: 814-653-9514 Fax: 814-653-8842 | |
Dr. Corey A Bookhamer, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 105 E Main St, Reynoldsville, PA 15851 Phone: 814-653-9514 Fax: 814-653-8842 |