| Boline Fenstra Chiropractic Pc | |
|
1101 1st St S, Willmar, MN 56201-3592 | |
| (320) 235-0515 | |
| Not Available |
| Full Name | Boline Fenstra Chiropractic Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1101 1st St S, Willmar, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003075615 | NPI | - | NPPES |
| 900022400 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3122 (Minnesota) | Primary |
| Provider Name | Kendall A Boline-fenstra |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1033318415 PECOS PAC ID: 4486728110 Enrollment ID: I20080729000764 |
| Mailing Address | Practice Location Address |
|---|---|
| Boline Fenstra Chiropractic Pc 1101 1st St S, Willmar, MN 56201-3592 Ph: (320) 235-0515 | Boline Fenstra Chiropractic Pc 1101 1st St S, Willmar, MN 56201-3592 Ph: (320) 235-0515 |
Dr. Brett Wayne Peterson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 130 Willmar Ave Se, Willmar, MN 56201 Phone: 320-231-1010 Fax: 320-231-1011 | |
Dr. Michael William Youngquist, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 180 45th Ave Se, Willmar, MN 56201 Phone: 320-235-5444 Fax: 320-231-0937 | |
Kendall A Boline Fenstra, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1101 S 1st St, Willmar, MN 56201 Phone: 320-235-0515 | |
Dr. Brian R Paulson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1550 Willmar Ave Se Ste B, Willmar, MN 56201 Phone: 320-235-6320 Fax: 320-235-2542 | |
Dr. Kathleen Elizabeth Lippert Swystun, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1100 19th Ave Sw, Suite 3, Willmar, MN 56201 Phone: 320-894-0066 | |
Linden Chiropractic Clinic P.a. Chiropractor Medicare: Medicare Enrolled Practice Location: 1604 1st St S, Willmar, MN 56201 Phone: 320-231-2513 Fax: 320-231-3135 |