Dr Kristopher Shane Nordrum, DC is a
Chiropractor based in Gays Mills, Wisconsin. Dr Kristopher Shane Nordrum is licensed to practice in Wisconsin (license number 4223-12) and his current practice location is
120 Sunset Ridge Ave Ste 109, Gays Mills, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(630) 542-1659.
NPI number for Dr Kristopher Shane Nordrum is 1376579144 and his current mailing address is 120 Sunset Ridge Ave Ste 109, Gays Mills, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376579144.
Healthcare Provider's Profile
| Full Name | Dr Kristopher Shane Nordrum |
|---|
| Gender | Male |
|---|
| Speciality | Chiropractor |
|---|
| Location | 120 Sunset Ridge Ave Ste 109, Gays Mills, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376579144
- Provider Enumeration Date: 06/24/2006
- Last Update Date: 07/14/2023
Medical Identifiers
Medical identifiers for Dr Kristopher Shane Nordrum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1376579144 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 111N00000X | Chiropractor | 038-011034 (Illinois) | Secondary |
| 111N00000X | Chiropractor | 4223-12 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kristopher Shane Nordrum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Kristopher Shane Nordrum, DC 120 Sunset Ridge Ave Ste 109, Gays Mills, WI 54631-8331 Ph: (630) 542-1659 | Dr Kristopher Shane Nordrum, DC 120 Sunset Ridge Ave Ste 109, Gays Mills, WI 54631-8331 Ph: (630) 542-1659 |
Reviews and Comments