Shasta Lake Chiropractic | |
4221 Shasta Dam Blvd, Shasta Lake, CA 96019-9423 | |
(530) 275-1585 | |
(530) 275-8662 |
Full Name | Shasta Lake Chiropractic |
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Type | Facility |
Speciality | Chiropractor |
Location | 4221 Shasta Dam Blvd, Shasta Lake, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235152364 | NPI | - | NPPES |
DC0174570 | Other | CA | KAY KOBE, DC PIN |
1912931197 | Other | CA | CHRIS KOBE, DC NPI |
DC0164540 | Other | CA | CHRIS KOBE, DC PIN |
GDC000270 | Medicaid | CA | |
1568496743 | Other | CA | KAY KOBE, DC NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 16454 (California) | Primary |
Provider Name | Kay E Kobe |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1568496743 PECOS PAC ID: 2567352297 Enrollment ID: I20040323000823 |
Provider Name | Christopher L Kobe |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1912931197 PECOS PAC ID: 2466342191 Enrollment ID: I20040323000882 |
Mailing Address | Practice Location Address |
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Shasta Lake Chiropractic Po Box 776, Shasta Lake, CA 96019-0776 Ph: (530) 275-1585 | Shasta Lake Chiropractic 4221 Shasta Dam Blvd, Shasta Lake, CA 96019-9423 Ph: (530) 275-1585 |
Kay Kobe Dc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4221 Shasta Dam Blvd, Shasta Lake, CA 96019 Phone: 530-275-1585 Fax: 530-275-8662 | |
Kay Ellen Kobe, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4221 Shasta Dam Blvd, Shasta Lake, CA 96019 Phone: 530-275-1585 Fax: 530-275-8662 | |
Christopher Lewis Kobe, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4221 Shasta Dam Blvd, Shasta Lake, CA 96019 Phone: 530-275-1585 Fax: 530-275-8662 |