| Ethan E Peterson, DC | |
|
1311 Wakarusa Dr Ste 1000, Lawrence, KS 66049-1741 | |
| (785) 749-1300 | |
| (785) 749-4746 |
| Full Name | Ethan E Peterson |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 1311 Wakarusa Dr Ste 1000, Lawrence, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558112326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2024003248 (Missouri) | Primary |
| Provider Name | Central Division Chiropractic, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1467200774 PECOS PAC ID: 5698218352 Enrollment ID: O20240621003522 |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan E Peterson, DC 1311 Wakarusa Dr Ste 1000, Lawrence, KS 66049-1741 Ph: (785) 979-0690 | Ethan E Peterson, DC 1311 Wakarusa Dr Ste 1000, Lawrence, KS 66049-1741 Ph: (785) 749-1300 |
Dr. Jeffrey Kent Schroeder, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1820 W 6th St, Lawrence, KS 66044 Phone: 785-856-7600 Fax: 785-856-7511 | |
Mikell Adams Dc, Pa Chiropractor Medicare: Medicare Enrolled Practice Location: 1201 Wakarusa Dr, Ste A1, Lawrence, KS 66049 Phone: 785-838-9000 Fax: 785-838-4177 | |
Dr. Drake Edward Kayser, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3320 Peterson Rd Ste 100, Lawrence, KS 66049 Phone: 785-856-2273 | |
Abigail Lynn Robinson, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 4824 Quail Crest Pl Ste A, Lawrence, KS 66049 Phone: 785-856-0825 Fax: 785-856-0826 | |
Dr. Jessica Lynn Peterson, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 901 Kentucky St Ste 102, Lawrence, KS 66044 Phone: 785-856-5353 Fax: 785-856-7630 | |
Dennis L Anthony, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3017 W 6th St, Ste A, Lawrence, KS 66049 Phone: 785-841-2218 Fax: 785-841-8538 | |
Dr. Robert W Warner, DC PA Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2112 Bob Billings Pkwy, Ste 1, Lawrence, KS 66049 Phone: 785-843-3033 Fax: 785-843-3127 |