East Fountain Chiropractic Llc | |
124 N Main St, Greenwood, WI 54437-9419 | |
(715) 267-7000 | |
Not Available |
Full Name | East Fountain Chiropractic Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 124 N Main St, Greenwood, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1164931473 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 5297-12 (Wisconsin) | Primary |
Provider Name | Kati Jean Ghess |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1639695745 PECOS PAC ID: 8820364367 Enrollment ID: I20171027000426 |
Mailing Address | Practice Location Address |
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East Fountain Chiropractic Llc Po Box 217, Greenwood, WI 54437-0217 Ph: (715) 267-7000 | East Fountain Chiropractic Llc 124 N Main St, Greenwood, WI 54437-9419 Ph: (715) 267-7000 |
Dr. Eugene Dale Martin, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 134 S Main St, Greenwood, WI 54437 Phone: 715-267-7890 | |
Dr. Phillip Opelt, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 124 N Main St, Greenwood, WI 54437 Phone: 715-937-3660 | |
Dr. Kati Jean Ghess, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 124 N Main St, Greenwood, WI 54437 Phone: 715-575-8418 |