| Yellowstone Chiropractic, Pc | |
|
223 E Main St, Lovell, WY 82431-2101 | |
| (307) 548-9338 | |
| (307) 548-9335 |
| Full Name | Yellowstone Chiropractic, Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 223 E Main St, Lovell, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497767115 | NPI | - | NPPES |
| 313386 | Other | WY | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 615 (Wyoming) | Primary |
| Provider Name | Ross B Fuller |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1043222748 PECOS PAC ID: 4486540713 Enrollment ID: I20040224001070 |
| Mailing Address | Practice Location Address |
|---|---|
| Yellowstone Chiropractic, Pc 223 E Main St, Lovell, WY 82431-2101 Ph: (307) 548-9338 | Yellowstone Chiropractic, Pc 223 E Main St, Lovell, WY 82431-2101 Ph: (307) 548-9338 |
Dr. Ross B Fuller, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 223 E Main St, Lovell, WY 82431 Phone: 307-548-9338 Fax: 307-548-9335 | |
Dr. Oliver Herbert Mitchell, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 203 Park Ave, Lovell, WY 82431 Phone: 307-548-7020 Fax: 307-548-7020 |