| Splitrock Chiropractic Center, Llc | |
|
314 S Splitrock Blvd, #1, Brandon, SD 57005-1679 | |
| (605) 582-8825 | |
| (605) 582-8827 |
| Full Name | Splitrock Chiropractic Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Radiology |
| Location | 314 S Splitrock Blvd, Brandon, 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 |
|---|---|---|---|
| 1497925069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NR0200X | Chiropractor - Radiology | 1031 (South Dakota) | Primary |
| Provider Name | Benjamin A Simonson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1346317807 PECOS PAC ID: 5294717633 Enrollment ID: I20040604000025 |
| Mailing Address | Practice Location Address |
|---|---|
| Splitrock Chiropractic Center, Llc 314 S Splitrock Blvd, #1, Brandon, SD 57005-1679 Ph: (605) 582-8825 | Splitrock Chiropractic Center, Llc 314 S Splitrock Blvd, #1, Brandon, SD 57005-1679 Ph: (605) 582-8825 |
Envive Brandon Prof Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 220 E Holly Blvd, Brandon, SD 57005 Phone: 605-582-3944 Fax: 605-582-3698 | |
Michael John Peterson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 125 E Holly Blvd, Brandon, SD 57005 Phone: 605-582-8800 | |
Paige Ward, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1302 E Rushmore Dr, Brandon, SD 57005 Phone: 605-583-6546 | |
Dr. Brian John Dozark, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 128 E Holly Blvd, Brandon, SD 57005 Phone: 605-582-8800 Fax: 605-582-8820 | |
Dr. Phillip Myles Dixon, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 220 E Holly Blvd, Brandon, SD 57005 Phone: 605-582-3944 Fax: 605-582-3698 | |
Dr. David Fitzgerald Ward, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1302 E Rushmore Dr, Brandon, SD 57005 Phone: 605-582-6546 | |
Dr. Michael Cody Huisman, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 117 E Holly Blvd, Brandon, SD 57005 Phone: 605-582-8800 Fax: 605-582-8820 |