Jason C Kindschi, DC
Individual provider Active NPI Chiropractor · Cottage Grove, WI
NPI 1528050325 · NPPES record last updated Jun 27, 2008
Key facts
- NPI
- 1528050325
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4099 (WI)
- Practice address
- 204 W Cottage Grove Rd
Cottage Grove, WI 53527-9211 - Phone
- (608) 839-1172
- Fax
- (608) 839-1174
- NPI assigned
- Aug 17, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W & P Enterprises Inc | Chiropractor | Past |
Accepting new patients |
| Petersen Chiropractic Office, S.C. | Chiropractor | Past |
Accepting new patients |
| Luedtke-Storm-Mackey Chiropractic Clinic SC | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4099 | WI | Yes |
Addresses
Primary practice location
204 W Cottage Grove Rd
Cottage Grove, WI 53527-9211
Mailing address
204 W Cottage Grove Rd
Cottage Grove, WI 53527-9211
Phone (608) 839-1172
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38959000 | Medicaid | WI |
Other providers in Cottage Grove, WI
- Daniel Reese Hunter
- Michelet Jean-Charles
- Emily Jones
- Megan Sue Kaddatz
- Susan Kees Johnson
- Kathleen Anne Knipfer
- Kayla Dawn Koch
- Dylan Steven Ledford
- Melanie Leistikow
- Joann Long
All providers in Cottage Grove, WI · Chiropractor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.