Adjust Clinic | |
3100 Lakeville Hwy Ste D Petaluma CA 94954-6959 | |
(707) 337-0606 | |
Not Available |
Full Name | Adjust Clinic |
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Speciality | Clinic/Center |
Location | 3100 Lakeville Hwy Ste D, Petaluma, California |
Authorized Official Name and Position | Ryan Todd Lloyd (OWNER) |
Authorized Official Contact | 7073370606 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Adjust Clinic 3100 Lakeville Hwy Ste D Petaluma CA 94954-6959 Ph: (707) 337-0606 | Adjust Clinic 3100 Lakeville Hwy Ste D Petaluma CA 94954-6959 Ph: (707) 337-0606 |
NPI Number | 1770153785 |
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Provider Enumeration Date | 06/30/2021 |
Last Update Date | 06/05/2022 |
Medicare PECOS PAC ID | 1355720012 |
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Medicare Enrollment ID | O20220627001609 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770153785 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Ryan Todd Lloyd |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1366433245 PECOS PAC ID: 0345142006 Enrollment ID: I20040122001119 |
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