| Brewer Chiropractic Llc | |
|
1200 W Cleveland Suite 6 Saint Johns AZ 85936 | |
| (928) 337-3125 | |
| Not Available |
| Full Name | Brewer Chiropractic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1200 W Cleveland, Saint Johns, Arizona |
| Authorized Official Name and Position | Ryan C Brewer (OWNER) |
| Authorized Official Contact | 9283373125 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brewer Chiropractic Llc Po Box 2578 Saint Johns AZ 85936-2578 Ph: (928) 337-3125 | Brewer Chiropractic Llc 1200 W Cleveland Suite 6 Saint Johns AZ 85936 Ph: (928) 337-3125 |
| NPI Number | 1154675239 |
|---|---|
| Provider Enumeration Date | 10/29/2012 |
| Last Update Date | 10/29/2012 |
| Medicare PECOS PAC ID | 4789839846 |
|---|---|
| Medicare Enrollment ID | O20130221000536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154675239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 7695 (Arizona) | Primary |
| Provider Name | Ryan C Brewer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508931528 PECOS PAC ID: 5698717254 Enrollment ID: I20070104000092 |
Richie P Bast Md Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 E. 1st South, Saint Johns, AZ 85936 Phone: 928-337-4802 | |
Summit Healthcare Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 625 N 13th W, Saint Johns, AZ 85936 Phone: 928-337-3000 Fax: 928-532-3561 |