| Function First Spine And Sport, Pllc | |
|
604 Sumner Ave, Humboldt, IA 50548-1761 | |
| (515) 570-7695 | |
| Not Available |
| Full Name | Function First Spine And Sport, Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 604 Sumner Ave, Humboldt, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407420664 | NPI | - | NPPES |
| 1235495615 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 111NS0005X | Chiropractor - Sports Physician | (* (Not Available)) | Secondary |
| Provider Name | Cynthia S Vansickler |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1235495615 PECOS PAC ID: 8820252018 Enrollment ID: I20150729008238 |
| Provider Name | Kaitlyn Heyrman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1366146391 PECOS PAC ID: 7810362985 Enrollment ID: I20230404001735 |
| Mailing Address | Practice Location Address |
|---|---|
| Function First Spine And Sport, Pllc 1371 Nelson Ave, Fort Dodge, IA 50501-8534 Ph: (525) 570-7695 | Function First Spine And Sport, Pllc 604 Sumner Ave, Humboldt, IA 50548-1761 Ph: (515) 570-7695 |
Humboldt Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 405 Sumner Ave, Humboldt, IA 50548 Phone: 515-332-2755 | |
Cynthia Ls Pischke, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2 3rd St N, Humboldt, IA 50548 Phone: 515-332-1504 Fax: 515-332-4660 | |
Dr. Mark Cirks, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1201 6th Ave N, Humboldt, IA 50548 Phone: 515-368-0086 | |
Kaitlyn Heyrman, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 604 Sumner Ave, Humboldt, IA 50548 Phone: 515-332-8154 | |
Gary Gonnerman, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 405 Sumner Ave, Humboldt, IA 50548 Phone: 515-332-2755 | |
Jacob Eugene Rittgers, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 405 Sumner Ave, Humboldt, IA 50548 Phone: 515-332-2755 |