| East Fountain Chiropractic Llc | |
|
124 N Main St, Greenwood, WI 54437-9419 | |
| (715) 267-7000 | |
| Not Available |
| Full Name | East Fountain Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 124 N Main St, Greenwood, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164931473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 5297-12 (Wisconsin) | Primary |
| Provider Name | Kati Jean Ghess |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1639695745 PECOS PAC ID: 8820364367 Enrollment ID: I20171027000426 |
| Mailing Address | Practice Location Address |
|---|---|
| East Fountain Chiropractic Llc Po Box 217, Greenwood, WI 54437-0217 Ph: (715) 267-7000 | East Fountain Chiropractic Llc 124 N Main St, Greenwood, WI 54437-9419 Ph: (715) 267-7000 |
Dr. Eugene Dale Martin, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 134 S Main St, Greenwood, WI 54437 Phone: 715-267-7890 | |
Dr. Phillip Opelt, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 124 N Main St, Greenwood, WI 54437 Phone: 715-937-3660 | |
Dr. Kati Jean Ghess, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 124 N Main St, Greenwood, WI 54437 Phone: 715-575-8418 |