Vitality Chiropractic Inc. | |
325 Main St, Great Bend, PA 18821-9753 | |
(570) 879-2979 | |
(570) 879-5044 |
Full Name | Vitality Chiropractic Inc. |
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Type | Facility |
Speciality | Chiropractor |
Location | 325 Main St, Great Bend, Pennsylvania |
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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1396283891 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | DC008738 (Pennsylvania) | Primary |
Provider Name | George Stover |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1144322330 PECOS PAC ID: 4688574437 Enrollment ID: I20040109000474 |
Provider Name | Brett A Mullen |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1700118247 PECOS PAC ID: 6608052931 Enrollment ID: I20110520000186 |
Mailing Address | Practice Location Address |
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Vitality Chiropractic Inc. 325 Main St, Po Box 825, Great Bend, PA 18821-9753 Ph: (570) 879-2979 | Vitality Chiropractic Inc. 325 Main St, Great Bend, PA 18821-9753 Ph: (570) 879-2979 |
Dr. George Harold Stover Iii, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 325 Main Street, Great Bend, PA 18821 Phone: 570-879-2979 Fax: 570-879-5044 | |
Dr. Brett Allen Mullen, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 325 Main St, Great Bend, PA 18821 Phone: 570-879-2979 Fax: 570-879-5044 | |
Health Source Of Great Bend Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 325 Main St, Great Bend, PA 18821 Phone: 570-879-2979 Fax: 570-879-5044 |