| Parkside Chiropractic Ltd | |
|
1235 Park Ave, Columbus, WI 53925-1612 | |
| (920) 623-2610 | |
| Not Available |
| Full Name | Parkside Chiropractic Ltd |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1235 Park Ave, Columbus, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205867538 | NPI | - | NPPES |
| U43434 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 70901-012 (Wisconsin) | Primary |
| 111N00000X | Chiropractor | 70902-012 (Wisconsin) | Secondary |
| 111N00000X | Chiropractor | 3989-012 (Wisconsin) | Secondary |
| Provider Name | Debbie S Oldenburg |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952377970 PECOS PAC ID: 3476566605 Enrollment ID: I20070525000085 |
| Provider Name | Timothy C Kirchberg |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1558337568 PECOS PAC ID: 0840203071 Enrollment ID: I20070525000100 |
| Provider Name | Jessica A Waterworth |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205596210 PECOS PAC ID: 5496139784 Enrollment ID: I20220908000265 |
| Mailing Address | Practice Location Address |
|---|---|
| Parkside Chiropractic Ltd 1235 Park Ave, Columbus, WI 53925-1612 Ph: (920) 623-2610 | Parkside Chiropractic Ltd 1235 Park Ave, Columbus, WI 53925-1612 Ph: (920) 623-2610 |
Dr. Terrence C Droessler, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1349 Park Ave, Columbus, WI 53925 Phone: 920-623-4743 | |
Kaila Alvarez, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 107 Grandview Ct, Columbus, WI 53925 Phone: 920-344-0119 | |
Joel David Kirchberg, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1235 Park Ave, Columbus, WI 53925 Phone: 920-623-2610 | |
Droessler Chiropractic Sc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1349 Park Avenue, Columbus, WI 53925 Phone: 920-623-4743 | |
Mr. Dane Andrew Schepp, D.C Chiropractor Medicare: Accepting Medicare Assignments Practice Location: N3751 Oconnor Rd, Columbus, WI 53925 Phone: 608-698-2425 | |
Mr. Timothy C Kirchberg, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1235 Park Ave, Columbus, WI 53925 Phone: 920-623-2610 Fax: 920-623-2504 |