Full Name | |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 338 E 4th St, Benson, Arizona |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124532361 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 4956 (Arizona) | Primary |
Provider Name | Frederick Von Brincken |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1427441146 PECOS PAC ID: 5698706786 Enrollment ID: I20050829000556 |
Mailing Address | Practice Location Address |
---|---|
338 E 4th St, Benson, AZ 85602-6614 Ph: () - | 338 E 4th St, Benson, AZ 85602 Ph: (520) 586-9364 |
Linda Beth Judd, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 275 W 6th St, Benson, AZ 85602 Phone: 520-586-3189 Fax: 520-586-9358 | |
Frederick Von Brincken, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 338 E 4th St, Benson, AZ 85602 Phone: 520-586-9364 Fax: 520-586-1856 |