Crevier Chiropractic LLC
Organization Active NPI Chiropractor · Brookings, SD
NPI 1699212928 · NPPES record last updated Jan 25, 2017
Key facts
- NPI
- 1699212928
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1307 (SD)
- Legal business name
- CREVIER CHIROPRACTIC LLC
- Practice address
- 2410 Sunrise Ridge Cir
#108
Brookings, SD 57006-2482 - Phone
- (605) 695-8899
- NPI assigned
- Jan 25, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Isaiah Andrew Crevier, D.C.
- Title
- Owner
- Phone
- (605) 695-8899
Practitioners 1
-
Isaiah Andrew Crevier, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170614001968 | SD | Part B Supplier - Clinic/Group Practice | 2668740705 |
Receives reassigned benefits from 1 practitioner Practice locations: Brookings, SD |
National Provider Directory
Locations
430 5th St
Brookings, SD 57006
Phone (605) 695-6447
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 1307 | SD | Yes |
Addresses
Primary practice location
2410 Sunrise Ridge Cir
#108
Brookings, SD 57006-2482
Mailing address
2410 Sunrise Ridge Cir
#108
Brookings, SD 57006-2482
Phone (605) 695-8899
Other names
- Champion Health Chiropractic
Other providers in Brookings, SD
- Amanda Joy Cooper
- Cornerstone Caregiving East LLC
- Lori Couser
- Rebecca Cover
- CP Twitero, PC
- Hallel Crevier
- Isaiah Andrew Crevier
- Laura Crooks
- Ronald Louis Cruz
- Autumn A Culhane
All providers in Brookings, SD · Chiropractor in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.