Marina Eggen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5528-12 Issued in WI

Practice address

N1724 Municipal Dr
Greenville, WI 54942-8721

Phone

(920) 757-5771

NPI assigned

Mar 23, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chiropractic Health and Rehabilitation CenterGroup PAC ID 3971671967, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chiropractic Health & Rehabilitation Center

  • Chiropractor
  • Greenville, WI
  • NPI 1467667972
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1033745955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N1724 MUNICIPAL DR",
            "city": "GREENVILLE",
            "state": "WI",
            "postal_code": "549428721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N1724 MUNICIPAL DR",
            "city": "GREENVILLE",
            "state": "WI",
            "postal_code": "549428721",
            "telephone_number": "920-757-5771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3020 E College Ave Ste H",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549153253",
            "country_code": "US",
            "telephone_number": "920-738-9997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGGEN",
        "first_name": "MARINA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5528-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tierney Fritz, APNP
• Greenville Chiropractic Inc.
• Greenville Eyecare LLC
• Greenville Foot & Ankle Center, LLC

• Chiropractor in Greenville, WI
• Providers in Greenville, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.