| Ellsworth Chiropractic Inc | |
|
187 E Main St, Ellsworth, WI 54011 | |
| (715) 273-4115 | |
| Not Available |
| Full Name | Ellsworth Chiropractic Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 187 E Main St, Ellsworth, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659557510 | NPI | - | NPPES |
| 64362EL | Other | MN | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2462 (Wisconsin) | Primary |
| Provider Name | Gayle A Nissen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1801972898 PECOS PAC ID: 1759328750 Enrollment ID: I20050412000232 |
| Provider Name | Samantha Kay Johnson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1124548201 PECOS PAC ID: 8729350061 Enrollment ID: I20170821002385 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellsworth Chiropractic Inc 187 E Main St, Po Box 668, Ellsworth, WI 54011 Ph: (715) 273-4115 | Ellsworth Chiropractic Inc 187 E Main St, Ellsworth, WI 54011 Ph: (715) 273-4115 |
Dr. Ronald Scott Nyeggen, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 105 North Piety Street, Ellsworth, WI 54011 Phone: 715-273-4404 Fax: 715-273-4406 | |
Dr. Samantha K Johnson, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 187 East Main, Ellsworth, WI 54011 Phone: 715-273-4115 | |
Gregory W Bernard Dc Pa Chiropractor Medicare: Medicare Enrolled Practice Location: 330 West Main Street, Ellsworth, WI 54011 Phone: 715-410-0706 | |
Nyeggen Chiropractic Sc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 105 North Piety Street, Ellsworth, WI 54011 Phone: 715-273-4404 | |
Dr. Gregory Winton Bernard, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 330 West Main Street, Ellsworth, WI 54011 Phone: 715-410-0706 Fax: 715-410-0706 | |
Kollbaum Chiropractic Limited Chiropractor Medicare: Medicare Enrolled Practice Location: 430 N Maple St, Suite 200, Ellsworth, WI 54011 Phone: 715-273-3175 Fax: 715-273-3427 |