| Vegacorp Pc | |
|
2094 185th St., Suite 40, Fairfield, IA 52556-8758 | |
| (641) 472-7333 | |
| (888) 279-4868 |
| Full Name | Vegacorp Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2094 185th St., Fairfield, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437694411 | NPI | - | NPPES |
| ZZ111N00000X | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Robert A Johnson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699863563 PECOS PAC ID: 4688632136 Enrollment ID: I20041229001046 |
| Mailing Address | Practice Location Address |
|---|---|
| Vegacorp Pc Po Box 2195, Fairfield, IA 52556-0037 Ph: (641) 472-7333 | Vegacorp Pc 2094 185th St., Suite 40, Fairfield, IA 52556-8758 Ph: (641) 472-7333 |
Dr. Tracy Lynn Kirschner, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 104 S 2nd St, Fairfield, IA 52556 Phone: 303-775-9891 | |
Dr. John Michael Mcconeghey, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 303 S Main St, Fairfield, IA 52556 Phone: 641-472-4925 | |
Howard Leroy Hunt, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 120 S Main St, Fairfield, IA 52556 Phone: 641-472-4323 Fax: 641-472-8093 | |
Dr. Jonathan Stephen Estrin, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 201 W Kirkwood Ave, Fairfield, IA 52556 Phone: 641-472-0233 Fax: 641-209-5721 | |
Dr. Maurice Neil Crossland, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 207 S Main St, Fairfield, IA 52556 Phone: 641-472-4454 | |
Meador Chiropractic, Inc. Chiropractor Medicare: Medicare Enrolled Practice Location: 1100 W Burlington Ave Ste 3, Fairfield, IA 52556 Phone: 641-209-1990 Fax: 641-209-1990 | |
Jon Estrin D.c., P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 201 W Kirkwood Ave, Fairfield, IA 52556 Phone: 641-472-0233 |