Phares Chiropractic Llc | |
203 Greene St Cumberland MD 21502-2877 | |
(301) 777-0110 | |
Not Available |
Full Name | Phares Chiropractic Llc |
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Speciality | Clinic/Center |
Location | 203 Greene St, Cumberland, Maryland |
Authorized Official Name and Position | Charlie Phares (CHIROPRACTIC PHYSICIAN) |
Authorized Official Contact | 3868462045 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Phares Chiropractic Llc 203 Greene St # A Cumberland MD 21502-2877 Ph: () - | Phares Chiropractic Llc 203 Greene St Cumberland MD 21502-2877 Ph: (301) 777-0110 |
NPI Number | 1730958703 |
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Provider Enumeration Date | 01/01/2024 |
Last Update Date | 01/01/2024 |
Medicare PECOS PAC ID | 4183068273 |
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Medicare Enrollment ID | O20240216001206 |
Identifier | Type | State | Issuer |
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1730958703 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Charlie James Phares |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1497109920 PECOS PAC ID: 6002191681 Enrollment ID: I20210621000691 |
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