| Cedar Lake Chiropractic Inc. | |
|
935 Cedar Lake Rd, Biloxi, MS 39532-2128 | |
| (228) 392-4000 | |
| (228) 392-4001 |
| Full Name | Cedar Lake Chiropractic Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 935 Cedar Lake Rd, Biloxi, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598000309 | NPI | - | NPPES |
| 02733326 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1052 (Mississippi) | Primary |
| Provider Name | Jarrett D Johnson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1629030572 PECOS PAC ID: 6608831672 Enrollment ID: I20041201000728 |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Lake Chiropractic Inc. 935 Cedar Lake Rd, Biloxi, MS 39532-2128 Ph: (228) 392-4000 | Cedar Lake Chiropractic Inc. 935 Cedar Lake Rd, Biloxi, MS 39532-2128 Ph: (228) 392-4000 |
Dr. Vincent Lee Mitchell, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2318 Pass Rd, Suite 7, Biloxi, MS 39531 Phone: 228-385-0088 Fax: 228-385-0099 | |
Aaron Joseph Murphy, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1990 Popps Ferry Rd, Biloxi, MS 39532 Phone: 228-374-6060 | |
Scott T. Ballard D.c. Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 2478 Pass Rd, Biloxi, MS 39531 Phone: 228-388-5753 Fax: 228-594-1717 | |
Jan Van Truong, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1720a Medical Park Dr, 160b, Biloxi, MS 39532 Phone: 228-206-5389 | |
Dr. Mina K. Whitmer, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 1732 Pass Rd, Suite 3, Biloxi, MS 39531 Phone: 228-374-5366 Fax: 228-374-5366 | |
Dr. Jarrett Dale Johnson, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 935 Cedar Lake Rd, Biloxi, MS 39532 Phone: 228-424-4593 Fax: 228-392-4001 |