| J Michael Davis Dc A Professional Chiropractic Corp | |
|
902 W Grand Ave Grover Beach CA 93433-2136 | |
| (805) 489-2200 | |
| (805) 489-1144 |
| Full Name | J Michael Davis Dc A Professional Chiropractic Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 902 W Grand Ave, Grover Beach, California |
| Authorized Official Name and Position | James Michael Davis (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8054892200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J Michael Davis Dc A Professional Chiropractic Corp 902 W Grand Ave Grover Beach CA 93433-2136 Ph: (805) 489-2200 | J Michael Davis Dc A Professional Chiropractic Corp 902 W Grand Ave Grover Beach CA 93433-2136 Ph: (805) 489-2200 |
| NPI Number | 1134436678 |
|---|---|
| Provider Enumeration Date | 09/03/2010 |
| Last Update Date | 09/15/2011 |
| Medicare PECOS PAC ID | 0648441071 |
|---|---|
| Medicare Enrollment ID | O20110915000470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134436678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | DC12649 (California) | Primary |
| Provider Name | James Michael Davis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1295881738 PECOS PAC ID: 0547262941 Enrollment ID: I20070214000304 |
Chc Grover Beach Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 S 13th St, Suite B, Grover Beach, CA 93433 Phone: 805-473-4712 Fax: 805-473-1830 | |
County Of San Luis Obispo Drug And Alcohol Service Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1523 Longbranch Ave, Grover Beach, CA 93433 Phone: 805-473-4759 Fax: 805-473-7188 |