| Cloverleaf Chiropractic | |
|
1 Cloverleaf Sq Ste A2 Big Stone Gap VA 24219-2758 | |
| (276) 523-7128 | |
| (276) 523-7213 |
| Full Name | Cloverleaf Chiropractic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Cloverleaf Sq Ste A2, Big Stone Gap, Virginia |
| Authorized Official Name and Position | Theresa Dunton (PRESIDENT) |
| Authorized Official Contact | 2765237128 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cloverleaf Chiropractic 1 Cloverleaf Sq Ste A2 Big Stone Gap VA 24219-2758 Ph: (276) 523-7128 | Cloverleaf Chiropractic 1 Cloverleaf Sq Ste A2 Big Stone Gap VA 24219-2758 Ph: (276) 523-7128 |
| NPI Number | 1770131161 |
|---|---|
| Provider Enumeration Date | 08/28/2019 |
| Last Update Date | 08/28/2019 |
| Medicare PECOS PAC ID | 5698109148 |
|---|---|
| Medicare Enrollment ID | O20191217000745 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770131161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Theresa A Dunton |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1477505675 PECOS PAC ID: 0345438495 Enrollment ID: I20101216000450 |
Cloverleaf Chiropractic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Cloverleaf Sq Ste A2, Big Stone Gap, VA 24219 Phone: 276-523-7128 Fax: 276-523-7213 | |
Ballad Health Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 323 Cloverleaf Sq, #1, Big Stone Gap, VA 24219 Phone: 276-523-6715 Fax: 276-523-6719 | |
Wise County Integrated Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 43 Champions Ave, Suite 1, Big Stone Gap, VA 24219 Phone: 276-523-8300 Fax: 423-467-3644 | |
Wellmont Physician Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Cloverleaf Sq, Suite F1, Big Stone Gap, VA 24219 Phone: 276-523-6175 Fax: 276-523-6719 | |
Lawrence J. Fleenor Jr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1980 Holton Ave E, Big Stone Gap, VA 24219 Phone: 276-523-1600 Fax: 276-523-5308 | |
Pathway Healthcare-virginia, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1941 Neeley Rd, Big Stone Gap, VA 24219 Phone: 703-544-7861 |