| Ideal Chiropractic Llc | |
|
2401 Sawmill Pkwy Ste 3 Huron OH 44839-2284 | |
| (419) 602-1978 | |
| Not Available |
| Full Name | Ideal Chiropractic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2401 Sawmill Pkwy Ste 3, Huron, Ohio |
| Authorized Official Name and Position | Brandon Paul Krueger (MAJORITY MANAGER) |
| Authorized Official Contact | 4196021978 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Chiropractic Llc 404 Wexford Dr Huron OH 44839-1463 Ph: (419) 602-1978 | Ideal Chiropractic Llc 2401 Sawmill Pkwy Ste 3 Huron OH 44839-2284 Ph: (419) 602-1978 |
| NPI Number | 1700445665 |
|---|---|
| Provider Enumeration Date | 06/13/2019 |
| Last Update Date | 06/13/2019 |
| Medicare PECOS PAC ID | 7214264589 |
|---|---|
| Medicare Enrollment ID | O20190808002786 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700445665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Brandon Paul Krueger |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1629637582 PECOS PAC ID: 8123355492 Enrollment ID: I20190820001669 |
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