| Desutter Chiropractic Clinic, Inc. | |
|
9659 Goodman Rd, Olive Branch, MS 38654-1725 | |
| (662) 895-2501 | |
| (662) 895-3464 |
| Full Name | Desutter Chiropractic Clinic, Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 9659 Goodman Rd, Olive Branch, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881965283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 0059 (Mississippi) | Primary |
| Provider Name | John H Desutter |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1780791202 PECOS PAC ID: 9638331309 Enrollment ID: I20120426000406 |
| Mailing Address | Practice Location Address |
|---|---|
| Desutter Chiropractic Clinic, Inc. 9659 Goodman Rd, Olive Branch, MS 38654-1725 Ph: (662) 895-2501 | Desutter Chiropractic Clinic, Inc. 9659 Goodman Rd, Olive Branch, MS 38654-1725 Ph: (662) 895-2501 |
Henry Chiropractic Clinic Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 8820 Goodman Rd, Olive Branch, MS 38654 Phone: 662-890-5454 Fax: 662-893-8343 | |
Dr. Richard Edward Warden Ii, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8912 Midsouth Ave, Olive Branch, MS 38654 Phone: 662-890-4410 Fax: 662-890-4410 | |
Dr. Brian Keith Henry, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 8820 Goodman Rd, Olive Branch, MS 38654 Phone: 662-890-5454 Fax: 662-893-8343 | |
Yolanda Brannon, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 6942 Autumn Oaks Dr Ste A, Olive Branch, MS 38654 Phone: 662-890-0012 Fax: 662-890-0522 | |
Dr. Nikolas Ramone Chillies, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 6253 Goodman Rd, Suite A & B, Olive Branch, MS 38654 Phone: 662-890-0012 Fax: 662-890-0522 | |
Dr. John Paul Hope Ii, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8820 Goodman Rd, Olive Branch, MS 38654 Phone: 662-890-5454 Fax: 662-893-8343 | |
Dr. Russell Howard Mauk, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8820 Goodman Rd, Olive Branch, MS 38654 Phone: 662-890-5454 |