| Dr John Booth Iii, DC | |
|
2360 State Route 89, Seneca Falls, NY 13148-9425 | |
| (302) 528-6488 | |
| Not Available |
| Full Name | Dr John Booth Iii |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 2360 State Route 89, Seneca Falls, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487085924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC010815 (Pennsylvania) | Primary |
| Provider Name | Diamond State Chiropractic, P.a. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952346538 PECOS PAC ID: 5991769077 Enrollment ID: O20041118000082 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Booth Iii, DC 1250 Zebley Rd, Garnet Valley, PA 19060-1811 Ph: (302) 528-6488 | Dr John Booth Iii, DC 2360 State Route 89, Seneca Falls, NY 13148-9425 Ph: (302) 528-6488 |
William A Mcgrimley, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 27 State Street, Seneca Falls, NY 13148 Phone: 315-568-6767 Fax: 315-368-0070 | |
Miss Rebekah Yen Yen Tho, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 143 Fall St, Seneca Falls, NY 13148 Phone: 585-218-4245 | |
Dr. Larissa Lynn Martin, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 2360 State Route 89, Seneca Falls, NY 13148 Phone: 315-568-3166 | |
Dr. Wendy Lynn Maneri, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 2360 State Route 89, Seneca Falls, NY 13148 Phone: 315-568-3262 | |
Dr. Peter George Nickless, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3239 Lake Rd, Seneca Falls, NY 13148 Phone: 845-367-1171 | |
Dr. Brian Matthew Cunningham, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2360 State Route 89, Seneca Falls, NY 13148 Phone: 315-568-3194 | |
Dr. Joseph Jeon, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2360 State Route 89, Seneca Falls, NY 13148 Phone: 315-651-2640 |