Solwis Health Centers Llc | |
705 W Highway 50, O Fallon, IL 62269-1900 | |
(865) 235-2097 | |
Not Available |
Full Name | Solwis Health Centers Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 705 W Highway 50, O Fallon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083003446 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 2320 (Tennessee) | Primary |
Provider Name | Gregory S Komeshak |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1265502611 PECOS PAC ID: 6800872078 Enrollment ID: I20040628001042 |
Mailing Address | Practice Location Address |
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Solwis Health Centers Llc 705 W Highway 50, O Fallon, IL 62269-1900 Ph: () - | Solwis Health Centers Llc 705 W Highway 50, O Fallon, IL 62269-1900 Ph: (865) 235-2097 |
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