| Glenn A. Hadlock, D.c., Inc. | |
|
5664 Bee Ridge Rd Suite 102 Sarasota FL 34233-1504 | |
| (941) 925-1517 | |
| Not Available |
| Full Name | Glenn A. Hadlock, D.c., Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 5664 Bee Ridge Rd, Sarasota, Florida |
| Authorized Official Name and Position | Glenn Allen Hadlock (PRESIDENT) |
| Authorized Official Contact | 9419251517 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn A. Hadlock, D.c., Inc. 5664 Bee Ridge Rd Suite 102 Sarasota FL 34233-1504 Ph: (941) 925-1517 | Glenn A. Hadlock, D.c., Inc. 5664 Bee Ridge Rd Suite 102 Sarasota FL 34233-1504 Ph: (941) 925-1517 |
| NPI Number | 1194951830 |
|---|---|
| Provider Enumeration Date | 06/09/2009 |
| Last Update Date | 04/16/2014 |
| Medicare PECOS PAC ID | 9133274962 |
|---|---|
| Medicare Enrollment ID | O20090831000667 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194951830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Glenn A Hadlock |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1942300306 PECOS PAC ID: 7810944980 Enrollment ID: I20050401000108 |
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