| Kollbaum Chiropractic Limited | |
|
430 N Maple St, Suite 200, Ellsworth, WI 54011-9029 | |
| (715) 273-3175 | |
| (715) 273-3427 |
| Full Name | Kollbaum Chiropractic Limited |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 430 N Maple St, Ellsworth, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659572048 | NPI | - | NPPES |
| 000035697 | Other | MEDICARE | |
| 38958400 | Medicaid | WI | |
| 49D86KO | Other | MN | BCBS MN |
| DF7950 | Other | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4077012 (Wisconsin) | Primary |
| Provider Name | Kyle T Kollbaum |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1992701056 PECOS PAC ID: 0244282002 Enrollment ID: I20050223000429 |
| Mailing Address | Practice Location Address |
|---|---|
| Kollbaum Chiropractic Limited 430 N Maple St, Suite 200, Ellsworth, WI 54011-9029 Ph: (715) 273-3175 | Kollbaum Chiropractic Limited 430 N Maple St, Suite 200, Ellsworth, WI 54011-9029 Ph: (715) 273-3175 |
Dr. Ronald Scott Nyeggen, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 105 North Piety Street, Ellsworth, WI 54011 Phone: 715-273-4404 Fax: 715-273-4406 | |
Dr. Samantha K Johnson, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 187 East Main, Ellsworth, WI 54011 Phone: 715-273-4115 | |
Gregory W Bernard Dc Pa Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 330 West Main Street, Ellsworth, WI 54011 Phone: 715-410-0706 | |
Nyeggen Chiropractic Sc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 105 North Piety Street, Ellsworth, WI 54011 Phone: 715-273-4404 | |
Dr. Gregory Winton Bernard, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 330 West Main Street, Ellsworth, WI 54011 Phone: 715-410-0706 Fax: 715-410-0706 | |
Ellsworth Chiropractic Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 187 E Main St, Ellsworth, WI 54011 Phone: 715-273-4115 |