Larry Nickelson, DC | |
207 E 3rd St, Miller, SD 57362-1426 | |
(605) 853-2230 | |
(605) 853-3111 |
Full Name | Larry Nickelson |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 207 E 3rd St, Miller, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518936210 | NPI | - | NPPES |
4999757 | Other | SD | BSSD |
4999850 | Other | SD | BSSD |
7602082 | Medicaid | SD | |
512482 | Other | SD | AMPPO |
7602080 | Medicaid | SD | |
0080147 | Other | SD | BSSD |
7602083 | Medicaid | SD | |
7602085 | Medicaid | SD | |
4999860 | Other | SD | BSSD |
0006716 | Other | SD | BSSD |
7602084 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 638 (South Dakota) | Primary |
Provider Name | Carr Chiropractic Clinics Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134263593 PECOS PAC ID: 6800797374 Enrollment ID: O20041008001320 |
Mailing Address | Practice Location Address |
---|---|
Larry Nickelson, DC 207 E 3rd St, Miller, SD 57362-1426 Ph: (605) 853-2230 | Larry Nickelson, DC 207 E 3rd St, Miller, SD 57362-1426 Ph: (605) 853-2230 |
Joshua S Carr, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 207 E 3rd St, Miller, SD 57362 Phone: 605-853-2230 Fax: 605-853-3111 | |
Taylor Carr, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 207 E 3rd St, Miller, SD 57362 Phone: 605-853-2230 Fax: 605-352-9776 | |
John S Carr, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 207 E 3rd St, Miller, SD 57362 Phone: 605-853-2230 Fax: 605-853-3111 | |
Carr Chiropractic Clinics Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 207 E 3rd St, Miller, SD 57362 Phone: 605-853-2230 Fax: 605-853-3111 |