| Chirosport Brandon, Pc | |
|
125 E Holly Blvd Brandon SD 57005 | |
| (605) 582-8800 | |
| Not Available |
| Full Name | Chirosport Brandon, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 125 E Holly Blvd, Brandon, South Dakota |
| Authorized Official Name and Position | Ross Mcdaniel (CHIROPRACTOR) |
| Authorized Official Contact | 6052618823 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chirosport Brandon, Pc 5413 S Seville Pl Sioux Falls SD 57108-7572 Ph: (712) 899-3597 | Chirosport Brandon, Pc 125 E Holly Blvd Brandon SD 57005 Ph: (605) 582-8800 |
| NPI Number | 1942048558 |
|---|---|
| Provider Enumeration Date | 07/17/2024 |
| Last Update Date | 07/17/2024 |
| Medicare PECOS PAC ID | 2668910753 |
|---|---|
| Medicare Enrollment ID | O20240820004515 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942048558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Michael J Peterson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1053159640 PECOS PAC ID: 1153852363 Enrollment ID: I20240930000181 |
Sanford Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1105 E Holly Blvd, Brandon, SD 57005 Phone: 605-582-5820 Fax: 605-582-5823 | |
Avera Mckennan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 E Holly Blvd, Brandon, SD 57005 Phone: 605-582-3853 Fax: 605-582-3855 |