Dr Randal Joseph Jacklitch, DC | |
645 Lake Ave S, Paynesville, MN 56362-1736 | |
(320) 243-7412 | |
(320) 243-7170 |
Full Name | Dr Randal Joseph Jacklitch |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 645 Lake Ave S, Paynesville, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447201561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2434 (Minnesota) | Primary |
Provider Name | Duininck Chiropractic, Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1568503670 PECOS PAC ID: 6305887720 Enrollment ID: O20050517000024 |
Mailing Address | Practice Location Address |
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Dr Randal Joseph Jacklitch, DC 208 W James St, P.o. Box 79, Paynesville, MN 56362-1219 Ph: (320) 243-7412 | Dr Randal Joseph Jacklitch, DC 645 Lake Ave S, Paynesville, MN 56362-1736 Ph: (320) 243-7412 |
Paynesville Chiropractic Clinic, P.a. Chiropractor Medicare: Medicare Enrolled Practice Location: 319 E Highway 55, Paynesville, MN 56362 Phone: 320-243-7551 Fax: 320-243-7571 | |
Jacklitch Chiropractic Clinic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 645 Lake Ave S, Paynesville, MN 56362 Phone: 320-243-7412 | |
Vitalife Chiropractic Of Paynesville, Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 208 W James St, Paynesville, MN 56362 Phone: 320-243-7412 | |
Dr. Elizabeth Pauline Greguson-puppe, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 319 E Highway 55, Paynesville, MN 56362 Phone: 320-243-7551 Fax: 320-243-7571 | |
Dr. Courtney Erin Stenger, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 208 W James St, Paynesville, MN 56362 Phone: 320-243-7412 Fax: 320-243-7170 | |
Matthew Johnson, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 208 W James St, Paynesville, MN 56362 Phone: 329-243-7412 |