Greene County Chiropractic Llc | |
6 N Commercial St Worthington IN 47471-1415 | |
(812) 875-2225 | |
(812) 875-1068 |
Full Name | Greene County Chiropractic Llc |
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Speciality | Clinic/Center |
Location | 6 N Commercial St, Worthington, Indiana |
Authorized Official Name and Position | Gerren Lee Cullison (OWNER) |
Authorized Official Contact | 8128752225 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Greene County Chiropractic Llc 6 N Commercial St Worthington IN 47471-1415 Ph: (812) 875-2225 | Greene County Chiropractic Llc 6 N Commercial St Worthington IN 47471-1415 Ph: (812) 875-2225 |
NPI Number | 1023377892 |
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Provider Enumeration Date | 05/14/2012 |
Last Update Date | 05/14/2012 |
Medicare PECOS PAC ID | 0345496683 |
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Medicare Enrollment ID | O20120802000120 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023377892 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 08002555A (Indiana) | Primary |
Provider Name | Gerren L Cullison |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1073818514 PECOS PAC ID: 5193906568 Enrollment ID: I20110218000562 |
Greene County Health, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 East Main Street, Worthington, IN 47471 Phone: 812-875-2000 Fax: 812-875-2742 |