| Surprise Lake Chiropractic | |
|
454 Pine St, Eastsound, WA 98245-9454 | |
| (360) 376-5575 | |
| Not Available |
| Full Name | Surprise Lake Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 454 Pine St, Eastsound, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437557279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH60062854 (Washington) | Primary |
| Provider Name | Aimee C. Sayles-miller |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1427044965 PECOS PAC ID: 7618027467 Enrollment ID: I20090616000801 |
| Provider Name | Jennie R Bonfiglio |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1659671618 PECOS PAC ID: 1355523408 Enrollment ID: I20110310000223 |
| Mailing Address | Practice Location Address |
|---|---|
| Surprise Lake Chiropractic 454 Pine St, Eastsound, WA 98245-9454 Ph: (360) 376-5575 | Surprise Lake Chiropractic 454 Pine St, Eastsound, WA 98245-9454 Ph: (360) 376-5575 |
Dr. Aimee C. Ahrens, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 454 Pine St, Eastsound, WA 98245 Phone: 363-376-5575 Fax: 425-277-0652 | |
Dr. Triton Ivie, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 454 Pine St, Eastsound, WA 98245 Phone: 360-376-5575 | |
Dr. Orion Zebedian Mahony, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 454 Pine St, Eastsound, WA 98245 Phone: 360-376-5575 | |
Family Tree Chiropractic, Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 454 Pine St, Eastsound, WA 98245 Phone: 360-376-5575 Fax: 360-376-5574 | |
Ms. Rebecca I Ortman, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 441 N Beach Rd, Eastsound, WA 98245 Phone: 360-376-2100 Fax: 360-376-6255 | |
Inter Island Chiropractic Inc Ps Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 441 N Beach Rd, Eastsound, WA 98245 Phone: 360-376-2100 Fax: 360-376-6255 |