| Lisbon Chiropractic Clinic Pllc | |
|
906 Main St, Lisbon, ND 58054-4333 | |
| (701) 683-4582 | |
| (701) 683-5814 |
| Full Name | Lisbon Chiropractic Clinic Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 906 Main St, Lisbon, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285627521 | NPI | - | NPPES |
| 31B45LI | Other | BLUE SELECT GROUP NUMBER | |
| 11490 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 640 (North Dakota) | Secondary |
| 111N00000X | Chiropractor | 562 (North Dakota) | Primary |
| Provider Name | Corey C Williams |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013919638 PECOS PAC ID: 8820008493 Enrollment ID: I20060426000702 |
| Provider Name | Chad A Olson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1073506499 PECOS PAC ID: 2264442847 Enrollment ID: I20060426000724 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisbon Chiropractic Clinic Pllc Po Box 255, Lisbon, ND 58054-0255 Ph: (701) 683-4582 | Lisbon Chiropractic Clinic Pllc 906 Main St, Lisbon, ND 58054-4333 Ph: (701) 683-4582 |
Dr. Corey Clark Williams, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 906 Main St, Lisbon, ND 58054 Phone: 701-683-4582 Fax: 701-683-5814 | |
Dr. Chad Allan Olson, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 906 Main St, Lisbon, ND 58054 Phone: 701-683-4582 Fax: 701-683-5814 | |
Dr. Jodi Kae Sandness-rieger, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 15 - 11th Ave W, Lisbon, ND 58054 Phone: 701-683-5337 Fax: 701-683-0096 | |
Mrs. Annette Bartosh Heacox, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 15 11th Ave W # 829, Lisbon, ND 58054 Phone: 701-680-2031 Fax: 701-683-4943 | |
Balanced Journey Chiropractic & Acupuncture Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 15 11th Ave W, Lisbon, ND 58054 Phone: 701-680-2031 | |
Inspiration Chiropractic Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 12 10th Ave W, Lisbon, ND 58054 Phone: 701-683-5272 |