| Lake Gregory Chiropractic | |
|
580 Forest Shade, Suite 4, Crestline, CA 92325-0989 | |
| (909) 338-6477 | |
| (909) 338-1639 |
| Full Name | Lake Gregory Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 580 Forest Shade, Crestline, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467583963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC 17037 (California) | Primary |
| Provider Name | John Bueler |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1619958147 PECOS PAC ID: 4284650276 Enrollment ID: I20051019000439 |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Gregory Chiropractic Po Box 989, Crestline, CA 92325-0989 Ph: (909) 338-6477 | Lake Gregory Chiropractic 580 Forest Shade, Suite 4, Crestline, CA 92325-0989 Ph: (909) 338-6477 |
Dr. Misty Rhiannon Hutton, DC, MAOM, LAC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 25268 Ca-18, Crestline, CA 92325 Phone: 909-338-6477 |
Dr. John Bueler Jr., DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 580 Forest Shade, #4, Crestline, CA 92325 Phone: 909-338-6477 Fax: 909-338-1639 |