| Lemire Chiropractic Spine & Sport Inc. | |
|
2354 Maritime Dr Ste 100 Elk Grove CA 95758-3657 | |
| (916) 683-3900 | |
| (916) 683-3339 |
| Full Name | Lemire Chiropractic Spine & Sport Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2354 Maritime Dr Ste 100, Elk Grove, California |
| Authorized Official Name and Position | Nancy Lee Lemire (DIRECTOR) |
| Authorized Official Contact | 9166833900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lemire Chiropractic Spine & Sport Inc. 2354 Maritime Dr Ste 100 Elk Grove CA 95758-3657 Ph: (916) 683-3900 | Lemire Chiropractic Spine & Sport Inc. 2354 Maritime Dr Ste 100 Elk Grove CA 95758-3657 Ph: (916) 683-3900 |
| NPI Number | 1235649492 |
|---|---|
| Provider Enumeration Date | 10/02/2017 |
| Last Update Date | 10/02/2017 |
| Medicare PECOS PAC ID | 0749548543 |
|---|---|
| Medicare Enrollment ID | O20171228001295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235649492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 20289 (California) | Primary |
| Provider Name | Brett J Lemire |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1609932896 PECOS PAC ID: 3274540182 Enrollment ID: I20060317000558 |
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