Look up the most recent NPI and PECOS records

Greco Chiropractic Inc.

Chiropractor

Chiropractic Providers

6624 Laguna Blvd, Suite 104, Elk Grove, CA 95758-5265

PECOS Enrollment

Based on the most recent information from CMS, provider Greco Chiropractic Inc. does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1821179748
Provider Type
Organization
Full Name
Greco Chiropractic Inc.

Subpart
No
Enumeration Date
10/18/2006
Last Updated
7/16/2008

Contact Information

Practice Location

6624 Laguna Blvd, Suite 104, Elk Grove, CA 95758-5265

(916) 691-3900

(916) 691-3902

Mailing Location

6624 Laguna Blvd, Suite 104, Elk Grove, CA 95758-5265

(916) 691-3900

(916) 691-3902

Authorized Official

Greco, Lyndon William-Mercer (Chiropractor/Owner)

(916) 691-3900

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License Unlisted Issuer

Greco Chiropractic Inc.

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Hightower, Andrea Michele

Lemire, Brett J

Adams, Michael Scott

Kuang, Marjo Versoza

Greco, Lyndon William Mercer

Diem T. Nguyen, Dc A Profession Chiropractic Corporation

Ong, Nelson S

Medlock, Ronald H

Premier Recovery, A Nijjar Chiropractic Corporation

Wright, Bryan Allen