| Country Chiropractic & Wellness | |
|
325 Clovis Ave Ste 107, Clovis, CA 93612-1151 | |
| (559) 326-0546 | |
| (888) 651-4595 |
| Full Name | Country Chiropractic & Wellness |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 325 Clovis Ave Ste 107, Clovis, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174183362 | NPI | - | NPPES |
| 1750605325 | Other | CA | NPI |
| LICENSE | Other | CA | 31386 CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Alexandra N Iared |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1750605325 PECOS PAC ID: 5991820953 Enrollment ID: I20100914000633 |
| Provider Name | Amy L Gjakova |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1558853739 PECOS PAC ID: 1153726070 Enrollment ID: I20210816002234 |
| Mailing Address | Practice Location Address |
|---|---|
| Country Chiropractic & Wellness 13540 E Bullard Ave, Clovis, CA 93619-9458 Ph: (559) 681-7552 | Country Chiropractic & Wellness 325 Clovis Ave Ste 107, Clovis, CA 93612-1151 Ph: (559) 326-0546 |
Gregory Carl Simmons, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 334 Shaw Ave, Suite 133, Clovis, CA 93612 Phone: 559-905-7508 Fax: 559-325-8565 | |
Dr. George Randall Forrester, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 875 W Ashlan Ave Ste 101, Clovis, CA 93612 Phone: 559-292-6191 Fax: 559-292-6193 | |
Dr. Daniel Thomas Ladeairous, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 200 W Shaw Ave, #114, Clovis, CA 93612 Phone: 559-273-6540 | |
Dr. Kenneth Ray Smith Jr, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 508 5th St, Clovis, CA 93612 Phone: 559-299-2896 Fax: 559-325-0113 | |
Dr. Amy Winchester, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 13540 E Bullard Ave, Clovis, CA 93619 Phone: 559-681-7552 | |
Matthew Vinson Chiropractic A Professional Corporation Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1305 N Willow Ave Ste 160, Clovis, CA 93619 Phone: 559-298-6325 Fax: 559-298-6322 |