| Cox Chiropractic Medicine Inc | |
|
3125 Hobson Rd Fort Wayne IN 46805-1611 | |
| (260) 484-1964 | |
| (260) 471-1817 |
| Full Name | Cox Chiropractic Medicine Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3125 Hobson Rd, Fort Wayne, Indiana |
| Authorized Official Name and Position | James M Cox (PRESIDENT) |
| Authorized Official Contact | 2604841964 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cox Chiropractic Medicine Inc 3125 Hobson Rd Fort Wayne IN 46805-1611 Ph: (260) 484-1964 | Cox Chiropractic Medicine Inc 3125 Hobson Rd Fort Wayne IN 46805-1611 Ph: (260) 484-1964 |
| NPI Number | 1518068683 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 11/23/2011 |
| Medicare PECOS PAC ID | 1355518960 |
|---|---|
| Medicare Enrollment ID | O20120123000814 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518068683 | NPI | - | NPPES |
| 100080050A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0024197180019 (Indiana) | Primary |
| Provider Name | James M Cox |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1487659389 PECOS PAC ID: 3779654538 Enrollment ID: I20080623000100 |
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