|
| |
|
1105 Kennedy Pl Ste 5, Davis, CA 95616-1272 | |
| (530) 650-5265 | |
| Not Available |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1105 Kennedy Pl Ste 5, Davis, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558867085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 34069 (California) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Michael David Ackerman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1962900415 PECOS PAC ID: 6709121429 Enrollment ID: I20181226002378 |
| Mailing Address | Practice Location Address |
|---|---|
949 Ponderosa Pl, Davis, CA 95616-2140 Ph: (707) 832-9623 | 1105 Kennedy Pl Ste 5, Davis, CA 95616-1272 Ph: (530) 650-5265 |
Raneem Zouhby, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1105 Kennedy Pl Ste 5, Davis, CA 95616 Phone: 916-398-6680 | |
Mark Ross, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 129 C St, Suite 1, Davis, CA 95616 Phone: 530-753-6023 | |
Gerner Chiropractic Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2043 Anderson Rd Ste D, Davis, CA 95616 Phone: 530-297-5683 Fax: 916-647-0506 | |
Dr. David Elliot Hartz, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 2055 Anderson Rd, Davis, CA 95616 Phone: 530-747-0455 Fax: 530-757-2931 | |
Dr. Laurent Lewis Colvin, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4618 Cowell Blvd, Davis, CA 95616 Phone: 530-400-5708 Fax: 866-692-0453 | |
Dr. Tyler Poland, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 635 Anderson Rd, Ste 14, Davis, CA 95616 Phone: 530-400-8390 | |
Lisa Sahar, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 260 Russell Blvd, Suite D-2, Davis, CA 95616 Phone: 530-574-4135 |