| |
9749 Kahl Road, Black Earth, WI 53515 | |
(608) 216-3206 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 9749 Kahl Road, Black Earth, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275026650 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2884-012 (Wisconsin) | Primary |
Provider Name | Vicki L Hegerfeld |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1861465452 PECOS PAC ID: 3971604505 Enrollment ID: I20070725000677 |
Mailing Address | Practice Location Address |
---|---|
Po Box 316, Black Earth, WI 53515-0316 Ph: (608) 216-3206 | 9749 Kahl Road, Black Earth, WI 53515 Ph: (608) 216-3206 |
Jpm Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 9749 Kahl Rd, Black Earth, WI 53515 Phone: 608-767-2226 Fax: 608-767-3226 | |
Dr. Nicole Ducharme, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4866 Carya Rd, Black Earth, WI 53515 Phone: 608-513-3530 |