M. CHAD LARSEN (NPI# 1003971458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003971458 |
| Entity Type | Individual |
| Full Name | M. CHAD LARSEN |
| Credential | D.C. |
| Practice Address |
1477 Us Highway 19 S Leesburg GA 31763-4868 |
| Mailing Address |
1477 Us Highway 19 S P O Box 734 Leesburg GA 31763-4868 |
| Practice Telephone | 2294361191 |
| Practice Fax Number | 2294361140 |
| Mailing Telephone | 2294361191 |
| Mailing Fax Number | 2294361140 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | CH00002535 | WA | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | CHIR003115 | GA | Chiropractic Providers |
| Street Address |
1477 US HIGHWAY 19 S |
| City | LEESBURG |
| State | GA |
| Zip Code | 31763-4868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588211965 | Shaun N. Price Dc, LLC | Chiropractor | 1477 Us Highway 19 S, Leesburg, GA 31763-4868 | 2019-08-21 |
| 1205954195 | M. Chad Larsen Dc PC | Chiropractor | 1477 Us Highway 19 S, Leesburg, GA 31763-4868 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790150423 | Jamie Perrella Flynn-pressley | Counselor | 112 Cris Ann St., Leesburg, GA 31763 | 2015-12-07 |
| 1023429511 | Brookstone Medical LLC | Durable Medical Equipment & Medical Supplies | 123 Hugh Rd, Leesburg, GA 31763 | 2014-05-19 |
| 1124370796 | Freds Stores of Tennessee Inc | Pharmacy | 118 Robert B Lee Drive, Leesburg, GA 31763 | 2012-10-08 |
| 1255649273 | Lee County Optical LLC | Optometrist | 1569 Highway 19 South, Leesburg, GA 31763 | 2010-09-24 |
| 1851572473 | Shaun Nicholas Price | Chiropractor | 152 Robert B Lee Dr, # 31, Leesburg, GA 31763 | 2007-11-26 |
| 1710042007 | Williams & Bush Partnership | Dentist | 919 Us Hwy 19 South, Leesburg, GA 31763 | 2006-12-27 |
| 1063570398 | Lee County Board of Education | Local Education Agency (LEA) | 126 Starksville Avenue, North, Leesburg, GA 31763 | 2006-12-06 |
| 1225109929 | Lee County School System | Local Education Agency (LEA) | 126 Starksville Avenue North, Leesburg, GA 31763 | 2006-11-13 |
| 1073682936 | Adams' Loving Pro Home Health Care Inc. | Home Health | 1277 Hwy 82 West, 121, Leesburg, GA 31763 | 2006-11-07 |
| 1225132699 | Deirdre Mae Clairewen Lawson | Internal Medicine | 235 Walnut Street, Leesburg, GA 31763 | 2006-09-07 |
| Find all providers in zip 31763 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215562145 | Nathaniel Biegler | Chiropractor | 32629 Blossom Ln, Leesburg, FL 34788-3907 | 2020-03-11 |
| 1114561495 | Palmercare Chiropractic Leesburg Inc | Chiropractor | 545 E Market St Ste E, Leesburg, VA 20176-4172 | 2019-10-30 |
| 1063066223 | Anthony Michael Fahsholtz | Chiropractor | 106 W North Blvd # 101, Leesburg, FL 34748-5039 | 2019-07-26 |
| 1487112173 | Integrative Physical Medicine of Leesburg, LLC | Chiropractor | 106 W North Blvd Ste 101, Leesburg, FL 34748-5039 | 2019-03-12 |
| 1598236549 | David Dannels | Chiropractor | 108 South St Se Ste F, Leesburg, VA 20175-3732 | 2018-12-16 |
| 1871044966 | David Ullian | Chiropractor | 1714 Youngs Rd, Leesburg, FL 34748-9358 | 2016-10-24 |
| 1750772372 | Customized Healthcare Solutions LLC | Chiropractor | 1509 South St Ste 1, Leesburg, FL 34748-6664 | 2015-02-18 |
| 1801151402 | Eric J Sweda Dc Pa | Chiropractor | 1326 W North Blvd, Suite 6, Leesburg, FL 34748-3997 | 2012-07-10 |
| 1649558297 | Chiropracticusa of Leesburg, Inc | Chiropractor | 945 N 14th St, Leesburg, FL 34748-3838 | 2011-08-01 |
| 1295067197 | Zachariah Leigh Wilson | Chiropractor | 36 F Catoctin Circle, Leesburg, VA 20175-1089 | 2010-02-03 |
| Find all providers in LEESBURG | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.