Dr Nicholas Adam Westenberger, DC | |
171 W Broadway St, Sparta, IL 62286-1619 | |
(618) 443-7665 | |
Not Available |
Full Name | Dr Nicholas Adam Westenberger |
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Gender | Male |
Speciality | Chiropractor |
Location | 171 W Broadway St, Sparta, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1891566642 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 2023050513 (Missouri) | Secondary |
111N00000X | Chiropractor | 038.014102 (Illinois) | Primary |
Provider Name | Live Well Be Well, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952758674 PECOS PAC ID: 6204119464 Enrollment ID: O20170214000204 |
Mailing Address | Practice Location Address |
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Dr Nicholas Adam Westenberger, DC 8203 Ridge Rd, Baldwin, IL 62217-1745 Ph: (618) 443-7665 | Dr Nicholas Adam Westenberger, DC 171 W Broadway St, Sparta, IL 62286-1619 Ph: (618) 443-7665 |
Southern Illinois Spine & Joint Center, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 202 W Jackson St, Suite A, Sparta, IL 62286 Phone: 618-443-2026 | |
Chris M Murry, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 401 West Broadway, Sparta, IL 62286 Phone: 618-443-6446 | |
Mr. Ryan Robert Reiss, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 202 W Jackson St, Suite A, Sparta, IL 62286 Phone: 618-443-2026 Fax: 618-443-2028 | |
Robert Karl Morovitz, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1505 N Market St, 3a, Sparta, IL 62286 Phone: 618-443-5357 Fax: 618-443-5357 | |
Grace Chiropractic P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 100 S Market St, Sparta, IL 62286 Phone: 618-443-1100 Fax: 618-443-1130 | |
Dr. Mark A Meyerhoff, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 100 S Market St, Sparta, IL 62286 Phone: 618-443-1100 |