| Wild Rivers Chiropractic Llc | |
|
1801 W Knapp St Ste 1, Rice Lake, WI 54868-1381 | |
| (715) 234-3067 | |
| (715) 234-3067 |
| Full Name | Wild Rivers Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1801 W Knapp St Ste 1, Rice Lake, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649831132 | NPI | - | NPPES |
| 1952878415 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Jacob Jon Desantis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952878415 PECOS PAC ID: 0244576767 Enrollment ID: I20190103003025 |
| Mailing Address | Practice Location Address |
|---|---|
| Wild Rivers Chiropractic Llc 1801 W Knapp St Ste 1, Rice Lake, WI 54868-1381 Ph: (715) 234-3067 | Wild Rivers Chiropractic Llc 1801 W Knapp St Ste 1, Rice Lake, WI 54868-1381 Ph: (715) 234-3067 |
Tanner Ardell Kleppe, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1207 W Knapp St, Rice Lake, WI 54868 Phone: 715-475-1700 | |
Dr. Michael David Sommerfeld, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 6 W Saint Patrick St, Rice Lake, WI 54868 Phone: 715-234-4222 Fax: 715-736-0751 | |
Steven R Owens, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3011 S Main St Ste 2, Rice Lake, WI 54868 Phone: 715-234-6338 | |
Dr. David A Sommerfeld, D. C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 6 W Saint Patrick St, Rice Lake, WI 54868 Phone: 715-234-4222 Fax: 715-736-0751 | |
Dr. Steven Donald Crotteau, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 12 W Marshall St, Suite #110, Rice Lake, WI 54868 Phone: 715-234-3808 Fax: 715-234-3809 | |
Zachary Alan Cole, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 225 S Main St, Rice Lake, WI 54868 Phone: 715-234-9876 | |
Crotteau Chiropractic, L.l.c Chiropractor Medicare: Medicare Enrolled Practice Location: 12 W Marshall St, Suite #110, Rice Lake, WI 54868 Phone: 715-234-3808 Fax: 715-234-3809 |