Susan L Blatt (NPI# 1831159318, PAC ID# 4880588144) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
Nation Provider ID (NPI) | 1831159318 |
PAC ID by PECOS | 4880588144 |
Professional Enrollment ID | I20040220000272 |
Full Name | Susan L Blatt |
Address |
58 W 1st St Unit B Eagar AZ 85925-0076 |
Gender | F |
Credential | DC |
Medical School | CLEVELAND CHIROPRACTIC COLLEGE - KANSAS CITY |
Graduation Year | 2003 |
Primary Specialty | CHIROPRACTIC |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
58 W 1st St Unit B, Eagar, AZ 85925-0076 |
Street Address |
58 W 1ST ST UNIT B |
City | EAGAR |
State | AZ |
Zip | 85925-0076 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kevin M Eagar | Chiropractic | 41 W 2nd Ave, Suite B, Eagar, AZ 85925-0900 | |
Kayle L Haws | Optometry | 39 E 1st St, Eagar, AZ 85925-9847 |
City | EAGAR |
Zip Code | 85925 |
Specialty | CHIROPRACTIC |
City + Specialty | EAGAR + CHIROPRACTIC |
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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.