| Envive Brandon Prof Llc | |
|
220 E Holly Blvd, Brandon, SD 57005-1171 | |
| (605) 582-3944 | |
| (605) 582-3698 |
| Full Name | Envive Brandon Prof Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 220 E Holly Blvd, Brandon, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023502168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Phillip Myles Dixon |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1194705822 PECOS PAC ID: 2668656109 Enrollment ID: I20110407000807 |
| Mailing Address | Practice Location Address |
|---|---|
| Envive Brandon Prof Llc 220 E Holly Blvd, Brandon, SD 57005-1171 Ph: (605) 582-3944 | Envive Brandon Prof Llc 220 E Holly Blvd, Brandon, SD 57005-1171 Ph: (605) 582-3944 |
Paige Ward, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1302 E Rushmore Dr, Brandon, SD 57005 Phone: 605-583-6546 | |
Dr. Brian John Dozark, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 128 E Holly Blvd, Brandon, SD 57005 Phone: 605-582-8800 Fax: 605-582-8820 | |
Dr. Phillip Myles Dixon, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 220 E Holly Blvd, Brandon, SD 57005 Phone: 605-582-3944 Fax: 605-582-3698 | |
Dr. David Fitzgerald Ward, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1302 E Rushmore Dr, Brandon, SD 57005 Phone: 605-582-6546 | |
Dr. Michael Cody Huisman, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 117 E Holly Blvd, Brandon, SD 57005 Phone: 605-582-8800 Fax: 605-582-8820 | |
Dr. Benjamin Axel Simonson, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 314 S Splitrock Blvd Ste 1, Brandon, SD 57005 Phone: 605-582-8825 Fax: 605-582-8827 |