| Longevity Chiropractic, Llc | |
|
2447 S Prairie Ave, Pueblo, CO 81005 | |
| (254) 394-0836 | |
| Not Available |
| Full Name | Longevity Chiropractic, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Rehabilitation |
| Location | 2447 S Prairie Ave, Pueblo, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174875298 | NPI | - | NPPES |
| Provider Name | Derek Wade Stickler |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1629326905 PECOS PAC ID: 0749612968 Enrollment ID: I20191108002071 |
| Mailing Address | Practice Location Address |
|---|---|
| Longevity Chiropractic, Llc 1504 Sandpiper Pl, Pueblo, CO 81006-9751 Ph: (254) 394-0836 | Longevity Chiropractic, Llc 2447 S Prairie Ave, Pueblo, CO 81005 Ph: (254) 394-0836 |
Dr. Scott Charles Cuthbert, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 255 West Abriendo Ave, Pueblo, CO 81004 Phone: 719-544-1468 Fax: 719-543-2357 | |
Dr. Theodore W Davis, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2505 Kachina Dr, Pueblo, CO 81008 Phone: 719-544-2009 Fax: 719-253-7734 | |
Lancaster Chiropractic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 4736 Eagleridge Cir, Pueblo, CO 81008 Phone: 719-404-1489 Fax: 719-545-0642 | |
Dr. William R Thomas Jr., DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 725 Desert Flower Blvd, Pueblo, CO 81001 Phone: 719-542-3131 Fax: 719-542-7437 | |
Dr. Robert Joseph Graham, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1211 Paseo Del Norte, Pueblo, CO 81008 Phone: 719-542-1399 Fax: 719-583-2024 | |
Colorado Chiropractic, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 3606 Morris Ave Ste B, Pueblo, CO 81008 Phone: 719-546-2446 | |
Charlotte Winnette Fleming, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 255 W. Abriendo Ave., Pueblo, CO 81004 Phone: 719-544-1468 Fax: 719-543-2357 |