| Shannon Palmer, | |
|
1311 Cameron Ave, Lewis Center, OH 43035-9662 | |
| (614) 781-8808 | |
| Not Available |
| Full Name | Shannon Palmer |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 1311 Cameron Ave, Lewis Center, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376319103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC-05303 (Ohio) | Primary |
| Provider Name | Revive Chiropractic Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1063771186 PECOS PAC ID: 1254595317 Enrollment ID: O20120621000302 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Palmer, 1311 Cameron Ave, Lewis Center, OH 43035-9662 Ph: () - | Shannon Palmer, 1311 Cameron Ave, Lewis Center, OH 43035-9662 Ph: (614) 781-8808 |
Revive Chiropractic Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 1258 E Powell Rd, Lewis Center, OH 43035 Phone: 614-781-8808 | |
Stephen List, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1311 Cameron Ave, Lewis Center, OH 43035 Phone: 614-781-8808 | |
Donald Anthony Behm, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 6329 Pullman Dr, Lewis Center, OH 43035 Phone: 740-410-9355 | |
Dr. Randall William Huffer, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 9383 S Old State Rd, Lewis Center, OH 43035 Phone: 614-846-2225 Fax: 614-846-8300 | |
Dr. Samantha Shriner, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1258 E Powell Rd, Lewis Center, OH 43035 Phone: 269-599-5986 | |
Dr. Tyler Morman, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 6329 Pullman Dr, Lewis Center, OH 43035 Phone: 740-410-9355 |