| Riverside Chiropractic, Llc | |
|
104 E Main St, Lower, Waterford, WI 53185-4302 | |
| (262) 514-3600 | |
| (262) 514-3836 |
| Full Name | Riverside Chiropractic, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 104 E Main St, Waterford, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003973868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3469-012 (Wisconsin) | Primary |
| Provider Name | Jenny R Geiger Putra |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508004227 PECOS PAC ID: 5698832756 Enrollment ID: I20090318000034 |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Chiropractic, Llc 104 E Main St, Lower, Waterford, WI 53185-4302 Ph: (262) 514-3600 | Riverside Chiropractic, Llc 104 E Main St, Lower, Waterford, WI 53185-4302 Ph: (262) 514-3600 |
Jenny R Geiger-putra, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 104 E Main St, Waterford, WI 53185 Phone: 262-514-3600 Fax: 262-514-3836 | |
Dr. Gregg Eric Nielsen, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 505 Aber Dr, Waterford, WI 53185 Phone: 262-534-3767 Fax: 262-534-2363 |