| Victor Emanuel Ortiz Diaz, | |
|
703 E Main St Ste B, Lebanon, KY 40033-8695 | |
| (270) 699-2323 | |
| (270) 699-2323 |
| Full Name | Victor Emanuel Ortiz Diaz |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 703 E Main St Ste B, Lebanon, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861272759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 286517 (Kentucky) | Primary |
| Provider Name | Back To Basics Chiropractic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508043811 PECOS PAC ID: 5890776686 Enrollment ID: O20040527000404 |
| Mailing Address | Practice Location Address |
|---|---|
| Victor Emanuel Ortiz Diaz, 703 E Main St Ste B, Lebanon, KY 40033-8695 Ph: (270) 699-2323 | Victor Emanuel Ortiz Diaz, 703 E Main St Ste B, Lebanon, KY 40033-8695 Ph: (270) 699-2323 |
Dr. Jeffrey Alan Roberts, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 496 W Main St, Lebanon, KY 40033 Phone: 270-692-6555 Fax: 270-692-5751 | |
Chiropractic Health Center Of Lebanon Pllc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 308 N Depot St, Lebanon, KY 40033 Phone: 270-692-2652 Fax: 270-692-6099 | |
Dr. Roderick D Coxon, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 112 Lebanon Trade Ctr, Lebanon, KY 40033 Phone: 270-699-2323 Fax: 270-699-2323 | |
Lebanon Chiropractic, Pllc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 496 W Main St, Lebanon, KY 40033 Phone: 270-692-6555 Fax: 270-692-5751 | |
Dr. Brian Wayne Wentz, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 308 N Depot St, Lebanon, KY 40033 Phone: 270-692-2652 Fax: 270-692-6099 | |
Roderick D Coxon D C P S C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 116 Lebanon Trade Center Dr, Lebanon, KY 40033 Phone: 270-699-2323 Fax: 270-699-2323 |