Contract Details
Ancillary Care Services
Facility name
D. Chris Emmert, D.C.
Provider ID
P000005678
NPI
1942469721
Tax ID
650544897
Effective Date
4/1/2012
Last Updated
10/2/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
6155 26th Street West
Bradenton, FL 34207
United States
County
Manatee
Phone
9417531747 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address