Contract Details
Facility name
Manhattan Family Chiropractic
Provider ID
P000006089
Tax ID
452781906
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
104 South State St
Manhattan, IL 60442
United States
County
Will
Phone
8155495852 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address