| Susie Chiropractic PLLC | |
|
3008 Lincoln Way Ste B Clinton IA 52732-7240 | |
| (563) 503-4255 | |
| Not Available |
| Full Name | Susie Chiropractic PLLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 3008 Lincoln Way Ste B, Clinton, Iowa |
| Authorized Official Name and Position | Ashley Lynn Susie (CHIROPRACTOR) |
| Authorized Official Contact | 5635034255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susie Chiropractic PLLC 3008 Lincoln Way Ste B Clinton IA 52732-7240 Ph: (563) 503-4255 | Susie Chiropractic PLLC 3008 Lincoln Way Ste B Clinton IA 52732-7240 Ph: (563) 503-4255 |
| NPI Number | 1558999516 |
|---|---|
| Provider Enumeration Date | 03/27/2020 |
| Last Update Date | 03/27/2020 |
| Certification Date | 03/27/2020 |
| Medicare PECOS PAC ID | 0547690778 |
|---|---|
| Medicare Enrollment ID | O20200430001033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558999516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Ashley Lynn Susie |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1437627734 PECOS PAC ID: 9032456520 Enrollment ID: I20200430001120 |
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