Dr. Randolph Clay O'dell is a Walled Lake, Michigan based male chiropractor with 48 years of experience in General Chiropractor. He completed his graduation from Palmer College Chiropractic - Davenport in 1976. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Randolph Clay O'dell as General Chiropractor is 2301002842 in Michigan. Dr. Randolph Clay O'dell is qualified as 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.
Complete Profile:
Dr. Randolph Clay O'dell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Experience:
48+ years
Medical School Attended:
Palmer College Chiropractic - Davenport
Graduation Year:
1976
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1183 Pontiac Trail, Walled Lake, Michigan, 48390
Phone:
248-624-6111
Fax:
248-624-6129
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5799751327
Enrollment ID:
I20110113000146
NPI Number:
1477644375
NPI Enumeration Date:
27 Sep, 2006
NPI Last Update On:
09 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Randolph Clay O'dell are as mentioned below.
License Number
Specialization
State
Status
2301002842
Chiropractor
Michigan
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Randolph Clay O'dell is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Odell Chiropractic Center Pc (6709852338)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Randolph Clay O'dell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1279839
Medicaid
Michigan
142073
Other
Michigan
AETNA INSURANCE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1183 Pontiac Trail, Walled Lake, Michigan
Zip:
48390
Phone Number:
248-624-6111
Fax Number:
248-624-6129
Patients can reach Dr. Randolph Clay O'dell at 1183 Pontiac Trail, Walled Lake, Michigan or can call to book an appointment on 248-624-6111. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.
Comments/ Reviews:
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