| |
615 Th Hwy 12, Ipswich, SD 57451-0314 | |
(605) 426-6063 | |
(605) 426-6304 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 615 Th Hwy 12, Ipswich, 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 |
---|---|---|---|
1922283118 | NPI | - | NPPES |
D01372 | Other | SD | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 1124 (South Dakota) | Primary |
Provider Name | Nathan G Kadlec |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1497937882 PECOS PAC ID: 5092896407 Enrollment ID: I20080111000080 |
Mailing Address | Practice Location Address |
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Po Box 314, Ipswich, SD 57451-0314 Ph: (605) 426-6063 | 615 Th Hwy 12, Ipswich, SD 57451-0314 Ph: (605) 426-6063 |
Dr. Nathan Kadlec, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 615 Th Hwy 12, Ipswich, SD 57451 Phone: 605-426-6063 Fax: 605-426-6304 |