| Ozbourn Chiropractic Clinic | |
|
101 Transcraft Dr Anna IL 62906-2114 | |
| (618) 833-2179 | |
| (618) 438-5119 |
| Full Name | Ozbourn Chiropractic Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 Transcraft Dr, Anna, Illinois |
| Authorized Official Name and Position | Dennis Ray Mcguire (PRESIDENT) |
| Authorized Official Contact | 6184352500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ozbourn Chiropractic Clinic 101 Transcraft Dr Anna IL 62906-2114 Ph: (618) 833-2179 | Ozbourn Chiropractic Clinic 101 Transcraft Dr Anna IL 62906-2114 Ph: (618) 833-2179 |
| NPI Number | 1811281728 |
|---|---|
| Provider Enumeration Date | 06/08/2011 |
| Last Update Date | 06/08/2011 |
| Medicare PECOS PAC ID | 9032381140 |
|---|---|
| Medicare Enrollment ID | O20111014000423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811281728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jason S Ozbourn |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1437458304 PECOS PAC ID: 9931371044 Enrollment ID: I20111014000438 |
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