| Peninsula Chiropractic Center Inc. | |
|
331 Kentucky St, Sturgeon Bay, WI 54235-2419 | |
| (920) 743-6919 | |
| (920) 746-0619 |
| Full Name | Peninsula Chiropractic Center Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 331 Kentucky St, Sturgeon Bay, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417145830 | NPI | - | NPPES |
| 38995000 | Other | MEDICAID PRACTICE IDENTIF | |
| 0003 | Other | MEDICARE PROVIDER IDENTIF | |
| 38783400 | Other | MEDICAID PROVIDER IDENTIF |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1763-012 (Wisconsin) | Primary |
| Provider Name | Randal E Arnold |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1649357336 PECOS PAC ID: 8820271851 Enrollment ID: I20110329000172 |
| Provider Name | Levi Arnold |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770829780 PECOS PAC ID: 4880848340 Enrollment ID: I20130208000315 |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula Chiropractic Center Inc. 331 Kentucky St, Sturgeon Bay, WI 54235-2419 Ph: (920) 743-6919 | Peninsula Chiropractic Center Inc. 331 Kentucky St, Sturgeon Bay, WI 54235-2419 Ph: (920) 743-6919 |
Packerland Chiropractic Of Door County Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 430 Jefferson St, Sturgeon Bay, WI 54235 Phone: 920-746-8252 Fax: 920-746-8252 | |
Luke Eric Staudenmaier, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 30 N 18th Ave, Suite #3, Sturgeon Bay, WI 54235 Phone: 920-743-7255 Fax: 920-743-7256 | |
Dr. Jason Kenwood Keltgen, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1444 Egg Harbor Rd, Sturgeon Bay, WI 54235 Phone: 920-743-2200 Fax: 920-743-2250 | |
Dr. Melissa Virginia Nelson, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 1034 Memorial Dr, Sturgeon Bay, WI 54235 Phone: 920-746-2163 | |
Door County Chiropractic Center Chiropractor Medicare: Medicare Enrolled Practice Location: 30 N 18th Ave Ste 10b, Sturgeon Bay, WI 54235 Phone: 920-818-0045 Fax: 920-818-0045 | |
Dr. Kathleen Elizabeth Arnold, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 30 N 18th Ave Ste 10b, Sturgeon Bay, WI 54235 Phone: 920-818-0045 Fax: 920-818-0045 | |
Hietpas Chiropractic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 1444 Egg Harbor Rd, Sturgeon Bay, WI 54235 Phone: 920-743-2200 Fax: 920-743-2250 |