| |
110 E 6th St, Walsenburg, CO 81089-2020 | |
(719) 738-3808 | |
(719) 738-3808 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 110 E 6th St, Walsenburg, Colorado |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1760802300 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 5081 (Colorado) | Primary |
Provider Name | James Theodore Vigil |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1679791644 PECOS PAC ID: 0446242861 Enrollment ID: I20040402000905 |
Mailing Address | Practice Location Address |
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110 E 6th St, Walsenburg, CO 81089-2020 Ph: (719) 738-3808 | 110 E 6th St, Walsenburg, CO 81089-2020 Ph: (719) 738-3808 |
Dr. James Theodore Vigil, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 110 E 6th St, Walsenburg, CO 81089 Phone: 719-738-3808 Fax: 719-738-3808 |