| Cafe Of Life Fenton, Llc | |
|
114 W Caroline St, Fenton, MI 48430-3802 | |
| (810) 629-6023 | |
| (810) 629-6024 |
| Full Name | Cafe Of Life Fenton, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 114 W Caroline St, Fenton, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891913927 | NPI | - | NPPES |
| 1000662 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2301008978 (Michigan) | Primary |
| Provider Name | Erica M Peabody |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1073648168 PECOS PAC ID: 1153375175 Enrollment ID: I20050315000607 |
| Mailing Address | Practice Location Address |
|---|---|
| Cafe Of Life Fenton, Llc 114 W Caroline St, Fenton, MI 48430-3802 Ph: (810) 629-6023 | Cafe Of Life Fenton, Llc 114 W Caroline St, Fenton, MI 48430-3802 Ph: (810) 629-6023 |
Advanced Care Chiropractic Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3160 W Silver Lake Rd Ste B, Fenton, MI 48430 Phone: 248-328-9800 | |
Dr. Erica Marie Peabody, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 114 W Caroline St, Fenton, MI 48430 Phone: 810-629-6023 Fax: 810-629-6024 | |
Dr. James Dewitt Ide, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 404 Rounds Dr, Fenton, MI 48430 Phone: 317-774-2998 Fax: 317-774-3130 | |
Tri County Chiropractic Of Michigan Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4033 Owen Rd, Fenton, MI 48430 Phone: 810-750-2600 Fax: 810-750-6981 | |
Dr. Michael Jacob Weiss, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 404 Rounds Dr, Fenton, MI 48430 Phone: 810-208-0424 Fax: 866-227-3775 | |
Deehl Chiropractic Life Center Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 106 N Pine St, Fenton, MI 48430 Phone: 810-750-9303 Fax: 810-750-9339 | |
Fenton Family Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 1549 N Leroy St, Ste. B, Fenton, MI 48430 Phone: 810-629-2757 Fax: 810-629-3899 |