| Tieszen Chiropractic Clinic, P.c. | |
|
128 N Dakota St, Canton, SD 57013-1832 | |
| (605) 987-5577 | |
| Not Available |
| Full Name | Tieszen Chiropractic Clinic, P.c. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 128 N Dakota St, Canton, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730206806 | NPI | - | NPPES |
| 7600460 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 912 (South Dakota) | Primary |
| Provider Name | Chad L Tieszen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1669440434 PECOS PAC ID: 5193821122 Enrollment ID: I20070508000125 |
| Mailing Address | Practice Location Address |
|---|---|
| Tieszen Chiropractic Clinic, P.c. 128 N Dakota St, Po Box 224, Canton, SD 57013-1832 Ph: (605) 987-5577 | Tieszen Chiropractic Clinic, P.c. 128 N Dakota St, Canton, SD 57013-1832 Ph: (605) 987-5577 |
Dr. Kirk Brooks Henderson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 113 S Broadway St, Canton, SD 57013 Phone: 052-145-8046 | |
Canton Chiropractic Prof. Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 113 S Broadway St, Canton, SD 57013 Phone: 605-214-5804 | |
Dr. Chad Lane Tieszen, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 128 N Dakota St, Canton, SD 57013 Phone: 605-987-5577 Fax: 605-764-2020 | |
Mr. Michael R Swenson, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 28199 West Ave, Canton, SD 57013 Phone: 605-987-2829 |