| Lebanon Chiropractic Clinic Pc | |
|
110 W Saint Louis St, Lebanon, IL 62254-1559 | |
| (618) 537-4407 | |
| Not Available |
| Full Name | Lebanon Chiropractic Clinic Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 110 W Saint Louis St, Lebanon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467500850 | NPI | - | NPPES |
| 634840 | Other | IL | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Dale A Fischer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1841294436 PECOS PAC ID: 8921195231 Enrollment ID: I20071102000667 |
| Mailing Address | Practice Location Address |
|---|---|
| Lebanon Chiropractic Clinic Pc 110 W Saint Louis St, Lebanon, IL 62254-1559 Ph: (618) 537-4407 | Lebanon Chiropractic Clinic Pc 110 W Saint Louis St, Lebanon, IL 62254-1559 Ph: (618) 537-4407 |
Dr. Emily J Odom, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 110 W Saint Louis St, Lebanon, IL 62254 Phone: 618-537-4407 | |
Lebanon Healthcare Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 110 W Saint Louis St, Lebanon, IL 62254 Phone: 618-654-4520 Fax: 618-654-1063 | |
Dr. Dale A Fischer, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 110 W Saint Louis St, Lebanon, IL 62254 Phone: 618-537-4407 Fax: 618-537-4409 |