Wellness Ethos Chiropractic Llc | |
3259 E Sunshine St Ste Dd2, Springfield, MO 65804-2143 | |
(417) 730-9233 | |
Not Available |
Full Name | Wellness Ethos Chiropractic Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 3259 E Sunshine St Ste Dd2, Springfield, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972371029 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Daniel Suh |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1063280113 PECOS PAC ID: 3971947888 Enrollment ID: I20240220000801 |
Mailing Address | Practice Location Address |
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Wellness Ethos Chiropractic Llc 3259 E Sunshine St Ste Dd2, Springfield, MO 65804-2143 Ph: (417) 730-9233 | Wellness Ethos Chiropractic Llc 3259 E Sunshine St Ste Dd2, Springfield, MO 65804-2143 Ph: (417) 730-9233 |
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