| Shasta Lake Chiropractic | |
|
4221 Shasta Dam Blvd, Shasta Lake, CA 96019-9423 | |
| (530) 275-1585 | |
| (530) 275-8662 |
| Full Name | Shasta Lake Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4221 Shasta Dam Blvd, Shasta Lake, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235152364 | NPI | - | NPPES |
| DC0174570 | Other | CA | KAY KOBE, DC PIN |
| 1912931197 | Other | CA | CHRIS KOBE, DC NPI |
| DC0164540 | Other | CA | CHRIS KOBE, DC PIN |
| GDC000270 | Medicaid | CA | |
| 1568496743 | Other | CA | KAY KOBE, DC NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 16454 (California) | Primary |
| Provider Name | Kay E Kobe |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1568496743 PECOS PAC ID: 2567352297 Enrollment ID: I20040323000823 |
| Provider Name | Christopher L Kobe |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1912931197 PECOS PAC ID: 2466342191 Enrollment ID: I20040323000882 |
| Mailing Address | Practice Location Address |
|---|---|
| Shasta Lake Chiropractic Po Box 776, Shasta Lake, CA 96019-0776 Ph: (530) 275-1585 | Shasta Lake Chiropractic 4221 Shasta Dam Blvd, Shasta Lake, CA 96019-9423 Ph: (530) 275-1585 |
Kay Kobe Dc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4221 Shasta Dam Blvd, Shasta Lake, CA 96019 Phone: 530-275-1585 Fax: 530-275-8662 | |
Kay Ellen Kobe, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4221 Shasta Dam Blvd, Shasta Lake, CA 96019 Phone: 530-275-1585 Fax: 530-275-8662 | |
Christopher Lewis Kobe, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4221 Shasta Dam Blvd, Shasta Lake, CA 96019 Phone: 530-275-1585 Fax: 530-275-8662 |