| Shannon Chiropractic Wellness Llc | |
|
397 Kenwood Ave Delmar NY 12054-3248 | |
| (518) 439-1916 | |
| Not Available |
| Full Name | Shannon Chiropractic Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 397 Kenwood Ave, Delmar, New York |
| Authorized Official Name and Position | Roger Philip Shannon (OWNER) |
| Authorized Official Contact | 5184391916 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Chiropractic Wellness Llc 397 Kenwood Ave Delmar NY 12054-3248 Ph: (518) 439-1916 | Shannon Chiropractic Wellness Llc 397 Kenwood Ave Delmar NY 12054-3248 Ph: (518) 439-1916 |
| NPI Number | 1649568734 |
|---|---|
| Provider Enumeration Date | 07/11/2011 |
| Last Update Date | 07/11/2011 |
| Medicare PECOS PAC ID | 7618147414 |
|---|---|
| Medicare Enrollment ID | O20110906000439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649568734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 011939 (New York) | Primary |
| Provider Name | Roger Philip Shannon |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1760784045 PECOS PAC ID: 8527238328 Enrollment ID: I20110906000542 |
Prime Care Physicians, P.l.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 Delaware Ave, Delmar, NY 12054 Phone: 518-475-9235 Fax: 518-475-9406 | |
Community Care Physicians, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 199 Delaware Ave, Delmar, NY 12054 Phone: 518-439-1131 Fax: 518-439-6306 | |
Community Care Physicians, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 Delaware Ave, Delmar, NY 12054 Phone: 518-439-8077 Fax: 518-439-8070 | |
Forefront Medical Services, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 785 Delaware Ave, Delmar, NY 12054 Phone: 518-320-7517 Fax: 518-439-0214 | |
Andrew D. Coates, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 Feura Bush Rd, Delmar, NY 12054 Phone: 518-429-8641 | |
Community Care Physicians, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 Delaware Ave, Suite 100, Delmar, NY 12054 Phone: 518-439-8077 Fax: 518-439-8070 | |
Integrative Medical Associates Of New York, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 388 Kenwood Ave, Delmar, NY 12054 Phone: 518-689-2244 Fax: 518-689-2081 |