| Healthfirst Chiropractic Of Watertown | |
|
1024 29th St Se Watertown SD 57201-9120 | |
| (605) 882-3726 | |
| (605) 882-3727 |
| Full Name | Healthfirst Chiropractic Of Watertown |
|---|---|
| Speciality | Clinic/Center |
| Location | 1024 29th St Se, Watertown, South Dakota |
| Authorized Official Name and Position | Mike Hendricks (CHIROPRACTOR) |
| Authorized Official Contact | 6058823726 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthfirst Chiropractic Of Watertown 1024 29th St Se Watertown SD 57201-9120 Ph: (605) 882-3726 | Healthfirst Chiropractic Of Watertown 1024 29th St Se Watertown SD 57201-9120 Ph: (605) 882-3726 |
| NPI Number | 1790915114 |
|---|---|
| Provider Enumeration Date | 07/20/2009 |
| Last Update Date | 08/11/2009 |
| Medicare PECOS PAC ID | 3274685219 |
|---|---|
| Medicare Enrollment ID | O20090722000223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790915114 | NPI | - | NPPES |
| 1174572309 | Medicaid | SD | |
| 1174572309 | Other | WELLMARK BLUE CROSS AND BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1086 (South Dakota) | Primary |
| Provider Name | Michael A Hendricks |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1174572309 PECOS PAC ID: 0244242816 Enrollment ID: I20060622000331 |
| Provider Name | Nick C Pillatzke |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1316214059 PECOS PAC ID: 2769633270 Enrollment ID: I20121109000398 |
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