| Ronan Chiropractic Inc | |
|
206 Main St Sw, Ronan, MT 59864 | |
| (406) 676-0170 | |
| (406) 676-0160 |
| Full Name | Ronan Chiropractic Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 206 Main St Sw, Ronan, Montana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649374794 | NPI | - | NPPES |
| P00067474 | Other | MT | RR MEDICARE |
| DA6765 | Other | RR MEDICARE GROUP | |
| 0165126 | Medicaid | MT | |
| 40743 | Other | MT | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1050 (Montana) | Primary |
| Provider Name | Ellen L Wicklund |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1902970312 PECOS PAC ID: 2163326380 Enrollment ID: I20031120000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Ronan Chiropractic Inc 206 Main St Sw, Ronan, MT 59864 Ph: (406) 676-0170 | Ronan Chiropractic Inc 206 Main St Sw, Ronan, MT 59864 Ph: (406) 676-0170 |
Dr. Eric V Boughton, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 63228 Us Highway 93, Ronan, MT 59864 Phone: 406-871-8347 | |
Ms. Ellen Lucille Wicklund, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 206 Main St Sw, Ronan, MT 59864 Phone: 406-676-0170 Fax: 406-676-0160 |