| Ortman Chiropractic Clinic Pc | |
|
209 W Main, Canistota, SD 57012 | |
| (605) 296-3431 | |
| (605) 296-3565 |
| Full Name | Ortman Chiropractic Clinic Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 209 W Main, Canistota, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114953130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Derrick J Ortman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1821327545 PECOS PAC ID: 0941342307 Enrollment ID: I20100122000460 |
| Provider Name | Ryan T Ortman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1184668378 PECOS PAC ID: 4486778354 Enrollment ID: I20100830000232 |
| Provider Name | Jay W Ortman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1275577462 PECOS PAC ID: 5193849073 Enrollment ID: I20100830000262 |
| Provider Name | Todd L Weiland |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1962457648 PECOS PAC ID: 0143344028 Enrollment ID: I20100830000319 |
| Provider Name | Ryan M Esser |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1225331135 PECOS PAC ID: 0042493348 Enrollment ID: I20110324000151 |
| Provider Name | Nathan Paul Ligtenberg |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1023063666 PECOS PAC ID: 8224036868 Enrollment ID: I20140703001150 |
| Mailing Address | Practice Location Address |
|---|---|
| Ortman Chiropractic Clinic Pc Po Box 157, Canistota, SD 57012-0157 Ph: (605) 296-3431 | Ortman Chiropractic Clinic Pc 209 W Main, Canistota, SD 57012 Ph: (605) 296-3431 |
Dr. Nathan Paul Ligtenberg, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 209 W Main St, Canistota, SD 57012 Phone: 605-296-3431 Fax: 605-296-3565 | |
Lon S Weiland, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 209 W Main, Canistota, SD 57012 Phone: 605-296-3431 Fax: 605-296-3565 | |
Tom R Ortman, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 209 W Main, Canistota, SD 57012 Phone: 605-296-3431 Fax: 605-296-3565 | |
Ryan T Ortman, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 209 W Main, Canistota, SD 57012 Phone: 605-296-3431 Fax: 605-296-3565 | |
Jay W Ortman, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 209 W Main, Canistota, SD 57012 Phone: 605-296-3431 Fax: 605-296-3565 | |
Ivan J Ortman, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 209 W Main, Canistota, SD 57012 Phone: 605-296-3431 Fax: 605-296-3565 |