| Ideal Health Solutions, LLC | |
|
346 New Byhalia Rd Ste 3 Collierville TN 38017-3741 | |
| (901) 853-1734 | |
| Not Available |
| Full Name | Ideal Health Solutions, LLC |
|---|---|
| Speciality | General Practice |
| Location | 346 New Byhalia Rd Ste 3, Collierville, Tennessee |
| Authorized Official Name and Position | Glen Raymond Burford (OWNER) |
| Authorized Official Contact | 9018531734 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Health Solutions, LLC 346 New Byhalia Rd Ste 3 Collierville TN 38017-3741 Ph: (901) 853-1734 | Ideal Health Solutions, LLC 346 New Byhalia Rd Ste 3 Collierville TN 38017-3741 Ph: (901) 853-1734 |
| NPI Number | 1811442452 |
|---|---|
| Provider Enumeration Date | 08/24/2016 |
| Last Update Date | 08/24/2016 |
| Medicare PECOS PAC ID | 3577843218 |
|---|---|
| Medicare Enrollment ID | O20161215000102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811442452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 35915 (Tennessee) | Primary |
| Provider Name | Glen R Burford |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1417099631 PECOS PAC ID: 9537118559 Enrollment ID: I20050207000651 |
| Provider Name | Jeffrey H Lowrey |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1154314755 PECOS PAC ID: 4688641285 Enrollment ID: I20080625000532 |
| Provider Name | Annette Caple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013250166 PECOS PAC ID: 1951693662 Enrollment ID: I20160720000972 |
| Provider Name | Brittany Dye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407301567 PECOS PAC ID: 0244528602 Enrollment ID: I20161018001481 |
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