| Canton Chiropractic Prof. Llc | |
|
113 S Broadway St, Canton, SD 57013-2224 | |
| (605) 214-5804 | |
| Not Available |
| Full Name | Canton Chiropractic Prof. Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 113 S Broadway St, Canton, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639640188 | NPI | - | NPPES |
| 7605300 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Kirk B Henderson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1316048697 PECOS PAC ID: 4385644244 Enrollment ID: I20100924000024 |
| Mailing Address | Practice Location Address |
|---|---|
| Canton Chiropractic Prof. Llc 113 S Broadway St, Canton, SD 57013-2224 Ph: (605) 214-5804 | Canton Chiropractic Prof. Llc 113 S Broadway St, Canton, SD 57013-2224 Ph: (605) 214-5804 |
Dr. Kirk Brooks Henderson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 113 S Broadway St, Canton, SD 57013 Phone: 052-145-8046 | |
Dr. Chad Lane Tieszen, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 128 N Dakota St, Canton, SD 57013 Phone: 605-987-5577 Fax: 605-764-2020 | |
Tieszen Chiropractic Clinic, P.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 128 N Dakota St, Canton, SD 57013 Phone: 605-987-5577 | |
Mr. Michael R Swenson, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 28199 West Ave, Canton, SD 57013 Phone: 605-987-2829 |