Smith Mountain Lake Chiropractic Center P.c. | |
15388 Moneta Rd Moneta VA 24121-5876 | |
(540) 297-1085 | |
Not Available |
Full Name | Smith Mountain Lake Chiropractic Center P.c. |
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Speciality | Clinic/Center |
Location | 15388 Moneta Rd, Moneta, Virginia |
Authorized Official Name and Position | James Andrew Schaible (CHIROPRACTOR PRESIDENT) |
Authorized Official Contact | 5402971085 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Smith Mountain Lake Chiropractic Center P.c. 15388 Moneta Rd Moneta VA 24121-5876 Ph: (540) 297-1085 | Smith Mountain Lake Chiropractic Center P.c. 15388 Moneta Rd Moneta VA 24121-5876 Ph: (540) 297-1085 |
NPI Number | 1750406302 |
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Provider Enumeration Date | 03/20/2007 |
Last Update Date | 12/09/2011 |
Medicare PECOS PAC ID | 3173798758 |
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Medicare Enrollment ID | O20111209000159 |
Identifier | Type | State | Issuer |
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1750406302 | NPI | - | NPPES |
326840 | Other | VA | 1 |
0004631055 | Other | VA | 2 |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 0104000790 (Virginia) | Primary |
Provider Name | James A Schaible |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1528116688 PECOS PAC ID: 5991970550 Enrollment ID: I20111208000776 |
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Ultra Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1039 Mayberry Crossing Dr Ste A&b, Moneta, VA 24121 Phone: 540-546-3744 | |
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