| Lake Chiropractic Clinic Inc | |
|
32313 Vine St, Willowick, OH 44095-3341 | |
| (440) 943-4357 | |
| (440) 943-5178 |
| Full Name | Lake Chiropractic Clinic Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 32313 Vine St, Willowick, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538158712 | NPI | - | NPPES |
| 34-19718221-00 | Other | OH | OHIO BWC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1626 (Ohio) | Primary |
| Provider Name | Gary A Crum |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1811987852 PECOS PAC ID: 2860667185 Enrollment ID: I20111214000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Chiropractic Clinic Inc 32313 Vine St, Willowick, OH 44095-3341 Ph: (440) 943-4357 | Lake Chiropractic Clinic Inc 32313 Vine St, Willowick, OH 44095-3341 Ph: (440) 943-4357 |
Volk's Chiropractic On Vine Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 35011 Vine St, Willowick, OH 44095 Phone: 440-946-8960 | |
Dr. Charles Anthony Volk, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 35011 Vine St, Willowick, OH 44095 Phone: 440-946-9999 Fax: 440-946-8960 | |
Dr. Gary Allen Crum, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 32313 Vine St, Willowick, OH 44095 Phone: 440-943-4357 Fax: 440-943-5178 | |
Musser Chiropractic, Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 34734 Vine St, Willowick, OH 44095 Phone: 440-975-2225 Fax: 440-942-9050 |