| Van Drisse Chiropractic Center Llc | |
|
502a George St, De Pere, WI 54115-2714 | |
| (920) 337-0103 | |
| (920) 338-9066 |
| Full Name | Van Drisse Chiropractic Center Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 502a George St, De Pere, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194913434 | NPI | - | NPPES |
| 38921100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3145-012 (Wisconsin) | Primary |
| Provider Name | James R Rouse |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1730107285 PECOS PAC ID: 9234187097 Enrollment ID: I20060215000364 |
| Provider Name | David M Van Drisse |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1386743797 PECOS PAC ID: 5193734853 Enrollment ID: I20060410000028 |
| Provider Name | Dennis R Ruess |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1528337466 PECOS PAC ID: 7911174925 Enrollment ID: I20120113000764 |
| Provider Name | Nicolas Howard Herrild |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013360155 PECOS PAC ID: 5496012544 Enrollment ID: I20171128003734 |
| Provider Name | Alec David Van Drisse |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699483750 PECOS PAC ID: 1052783776 Enrollment ID: I20230207000430 |
| Provider Name | Kayla Ann Komarec |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1730886821 PECOS PAC ID: 0941666226 Enrollment ID: I20230510003306 |
| Mailing Address | Practice Location Address |
|---|---|
| Van Drisse Chiropractic Center Llc 502a George St, De Pere, WI 54115-2714 Ph: (920) 337-0103 | Van Drisse Chiropractic Center Llc 502a George St, De Pere, WI 54115-2714 Ph: (920) 337-0103 |
Brady Spielbauer, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1702 Scheuring Rd Ste C, De Pere, WI 54115 Phone: 920-227-1331 Fax: 920-632-7870 | |
Dr. Alex Kocken, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 920 Main Ave, Ste B, De Pere, WI 54115 Phone: 920-336-2822 Fax: 920-347-3481 | |
De Pere Chiropractic Center Chiropractor Medicare: Medicare Enrolled Practice Location: 820 George St, De Pere, WI 54115 Phone: 920-336-2921 Fax: 920-336-8229 | |
Tundra Chiropractic, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 1251 Scheuring Rd, De Pere, WI 54115 Phone: 920-336-3353 | |
Spencer L Woodward, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 820 George St, De Pere, WI 54115 Phone: 920-336-2921 Fax: 920-336-8229 | |
Dr. Karl Huebner, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3108 Mid Valley Dr, De Pere, WI 54115 Phone: 920-515-0990 |