| Pro Spine And Sport, Llc | |
|
62 N 3rd St, Central Point, OR 97502-2025 | |
| (541) 727-7867 | |
| (541) 727-7868 |
| Full Name | Pro Spine And Sport, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Sports Physician |
| Location | 62 N 3rd St, Central Point, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912385816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NS0005X | Chiropractor - Sports Physician | 5507 (Oregon) | Primary |
| Provider Name | Corey R O'neill |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1023445327 PECOS PAC ID: 2062631179 Enrollment ID: I20140922001447 |
| Provider Name | Jordan Scott Baker |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1396233383 PECOS PAC ID: 6204261274 Enrollment ID: I20200121002515 |
| Provider Name | Nathan Robinson Kahm |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1619511003 PECOS PAC ID: 0345653374 Enrollment ID: I20210111002480 |
| Provider Name | Garrett A Garcia |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1275165805 PECOS PAC ID: 4880021039 Enrollment ID: I20230413002063 |
| Provider Name | Justin Anthony Newsom |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1881224780 PECOS PAC ID: 0648606632 Enrollment ID: I20230804000750 |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Spine And Sport, Llc Po Box 5267, Central Point, OR 97502-0051 Ph: () - | Pro Spine And Sport, Llc 62 N 3rd St, Central Point, OR 97502-2025 Ph: (541) 727-7867 |
Courtney Pearce, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 62 N 3rd St, Central Point, OR 97502 Phone: 541-727-7867 | |
Dr. Nikki Marie Walker, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 990 S Front St, Central Point, OR 97502 Phone: 541-664-5253 | |
Dr. Robert Allen Ferrell, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 547 E Pine St Ste 102, Central Point, OR 97502 Phone: 541-414-0362 Fax: 541-200-2269 | |
Dr. Heidi Leigh Henson Dunlap, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 990 S Front St, Central Point, OR 97502 Phone: 541-664-5253 Fax: 541-664-1165 | |
Lester Chiropractic L.l.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 1205 Plaza Blvd Ste F, Central Point, OR 97502 Phone: 541-727-7033 Fax: 541-727-7349 | |
Dr. Jordan Scott Baker, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 62 N 3rd St, Central Point, OR 97502 Phone: 541-727-7867 Fax: 541-727-7868 | |
Dr. Jared Lee Dance, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 547 E Pine St Ste 102, Central Point, OR 97502 Phone: 541-414-0362 Fax: 541-200-2269 |