| Way Chiropractic Pllc | |
|
641 W Stephenson St Ste 3 Freeport IL 61032-5005 | |
| (815) 238-9629 | |
| Not Available |
| Full Name | Way Chiropractic Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 641 W Stephenson St Ste 3, Freeport, Illinois |
| Authorized Official Name and Position | Joshua Berven (OWNER) |
| Authorized Official Contact | 8152389629 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Way Chiropractic Pllc 641 W Stephenson St Ste 3 Freeport IL 61032-5005 Ph: (815) 238-9629 | Way Chiropractic Pllc 641 W Stephenson St Ste 3 Freeport IL 61032-5005 Ph: (815) 238-9629 |
| NPI Number | 1235875998 |
|---|---|
| Provider Enumeration Date | 05/06/2022 |
| Last Update Date | 05/06/2022 |
| Medicare PECOS PAC ID | 7214310135 |
|---|---|
| Medicare Enrollment ID | O20220810001247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235875998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Joshua Berven |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679989404 PECOS PAC ID: 6103162482 Enrollment ID: I20190108000315 |
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