William Cecil Mettler, D.C.

Individual provider Active NPI Chiropractor · Spring Valley, MN

NPI 1295833424 · NPPES record last updated May 19, 2012

Key facts

NPI
1295833424
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
3063 (MN)
Practice address
105 S Broadway St
Spring Valley, MN 55975-1227
Phone
(507) 346-1077
Fax
(507) 346-7117
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mettler Family Chiropractic PA (2 clinicians)

Practice addresses (Care Compare)

105 S Broadway St
Spring Valley, MN 55975-1227
Phone (507) 346-1077

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20060208000206 MN Practitioner - Chiropractic 0244216984 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Mettler Family Chiropractic PA Chiropractor Current
since Jan 1, 2006
Accepting new patients

Locations

105 S Broadway St
Spring Valley, MN 55975
Phone (507) 346-1077

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3063 MN Yes

Addresses

Primary practice location

105 S Broadway St
Spring Valley, MN 55975-1227

Mailing address

105 S Broadway St
Spring Valley, MN 55975-1227
Phone (507) 346-1077

Other identifiers

IdentifierTypeStateIssuer
3C399MEOtherMNBCBS
029013100MedicaidMN

Other providers in Spring Valley, MN

All providers in Spring Valley, MN · Chiropractor in Minnesota

Sources for this page

Verify at the official NPI Registry.