| Niemeier Spine & Sports Chiropractic Plc | |
|
222 Market Street, Lake Park, IA 51347-0246 | |
| (712) 832-3056 | |
| (712) 832-3360 |
| Full Name | Niemeier Spine & Sports Chiropractic Plc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 222 Market Street, Lake Park, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407030422 | NPI | - | NPPES |
| 1454371 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 06762 (Iowa) | Primary |
| Provider Name | Chad Michael Niemeier |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083700579 PECOS PAC ID: 8426002841 Enrollment ID: I20050311000280 |
| Provider Name | Kayla Ann Heuer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1255722278 PECOS PAC ID: 2264750736 Enrollment ID: I20150413001480 |
| Mailing Address | Practice Location Address |
|---|---|
| Niemeier Spine & Sports Chiropractic Plc Po Box 246, 222 Market Street, Lake Park, IA 51347-0246 Ph: (712) 832-3056 | Niemeier Spine & Sports Chiropractic Plc 222 Market Street, Lake Park, IA 51347-0246 Ph: (712) 832-3056 |
Chad Michael Niemeier, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 222 Market Street, Lake Park, IA 51347 Phone: 712-832-3056 Fax: 712-832-3360 | |
Dr. Kayla Updike, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 222 N. Market Street, Lake Park, IA 51347 Phone: 712-832-3056 Fax: 712-832-3360 | |
Dr. Lee A. Ditsworth, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 19 Avenue C West, Lake Park, IA 51347 Phone: 712-832-3118 |