| Shady Cove Chiropractic, Llc | |
|
21885 Or-62, Shady Cove, OR 97539 | |
| (541) 878-3603 | |
| Not Available |
| Full Name | Shady Cove Chiropractic, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 21885 Or-62, Shady Cove, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154089423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Robert R Bennett |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1285786525 PECOS PAC ID: 5294995825 Enrollment ID: I20120319000838 |
| Provider Name | Gina Marie Eilertson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1093268286 PECOS PAC ID: 4385931963 Enrollment ID: I20160926000878 |
| Mailing Address | Practice Location Address |
|---|---|
| Shady Cove Chiropractic, Llc 832 Mountain View Dr, Eagle Point, OR 97524-5616 Ph: () - | Shady Cove Chiropractic, Llc 21885 Or-62, Shady Cove, OR 97539 Ph: (541) 878-3603 |
Gina Eilertson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 21885 Or-62, Shady Cove, OR 97539 Phone: 541-878-3603 Fax: 541-622-8502 | |
Robert Russell Bennett, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 21885 Highway 62, Shady Cove, OR 97539 Phone: 541-878-3603 Fax: 541-878-3603 | |
Shady Cove Chiropractic And Massage, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 21885 Or-62, Shady Cove, OR 97539 Phone: 541-878-3603 |