Caitlyn R Hannold (NPI# 1194176271, PAC ID# 4183981715) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1194176271 |
| PAC ID by PECOS | 4183981715 |
| Professional Enrollment ID | I20171206001574 |
| Full Name | Caitlyn R Hannold |
| Organization Legal Name | MITCHELL CLINIC LLC |
| Address |
119 E Springfield St St James MO 65559-1646 |
| Phone Number | 5732650310 |
| Gender | F |
| Medical School | LOGAN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2015 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 8123165537 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 119 E Springfield St, St James, MO 65559-1646 | 5732650310 | MITCHELL CLINIC LLC |
| Organization Legal Name | MITCHELL CLINIC LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gerry D Mitchell | Chiropractic | Mitchell Clinic LLC | 119 E Springfield St, St James, MO 65559-1646 |
| Street Address |
119 E SPRINGFIELD ST |
| City | ST JAMES |
| State | MO |
| Zip | 65559-1646 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gerry D Mitchell | Chiropractic | Mitchell Clinic LLC | 119 E Springfield St, St James, MO 65559-1646 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diana Jane Brandt | Physical Therapy | 117 E Springfield St, Saint James, MO 65559-1646 | |
| Traci Kim Krygiel | Clinical Social Worker | Deer Oaks Mental Health Associates PC | 620 N Jefferson, Missouri Veterans Home, St James, MO 65559-1999 |
| City | ST JAMES |
| Zip Code | 65559 |
| Specialty | CHIROPRACTIC |
| City + Specialty | ST JAMES + CHIROPRACTIC |
Please comment or provide details below to improve the information on Caitlyn R Hannold.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.