Shannon Grimes, | |
1603 S Muskogee Ave, Tahlequah, OK 74464-5430 | |
(918) 453-9355 | |
(918) 871-4801 |
Full Name | Shannon Grimes |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 1603 S Muskogee Ave, Tahlequah, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730681727 | NPI | - | NPPES |
V082185600 | Other | OK | DRIVERS LICENCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 3684 (Oklahoma) | Primary |
Provider Name | Kats And Associates, L.l.c. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770764722 PECOS PAC ID: 6103905971 Enrollment ID: O20080505000639 |
Mailing Address | Practice Location Address |
---|---|
Shannon Grimes, 1603 S Muskogee Ave, Tahlequah, OK 74464-5430 Ph: (918) 453-9355 | Shannon Grimes, 1603 S Muskogee Ave, Tahlequah, OK 74464-5430 Ph: (918) 453-9355 |
Dr. Kelly J Callaway, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2067 Mahaney Ave, Tahlequah, OK 74464 Phone: 918-708-2563 Fax: 918-456-3000 | |
Seth Garrett Moore, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 401 E Downing St, Tahlequah, OK 74464 Phone: 918-734-2711 | |
Dr. Christian H. Abels, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 215 N Water Ave, Tahlequah, OK 74464 Phone: 918-456-0801 Fax: 918-456-6222 | |
Countryside Wellness Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 2067 Mahaney Ave, Tahlequah, OK 74464 Phone: 918-708-2563 | |
Dr. Christian Ryan Abels, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 215 N Water Ave, Tahlequah, OK 74464 Phone: 918-456-0801 Fax: 918-456-6222 | |
Dr. Tamarie Ann Eller, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 22398 S Bald Hill Rd, Tahlequah, OK 74464 Phone: 918-931-8192 | |
Robert P Mitchell, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 306 E Downing St, Tahlequah, OK 74464 Phone: 918-458-5101 |