Ronan Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1050 Issued in MT

Legal business name

RONAN CHIROPRACTIC INC

Practice address

206 Main St SW
Ronan, MT 59864

Phone

(406) 676-0170

Fax

(406) 676-0160

NPI assigned

Sep 11, 2006

Organization subpart

No

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

Authorized official

Name

Ellen Lucille Wicklund, DC

Title

President

Phone

(406) 676-0170

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Ronan Chiropractic Former legal business name

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649374794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 MAIN ST SW",
            "city": "RONAN",
            "state": "MT",
            "postal_code": "59864",
            "telephone_number": "406-676-0170",
            "fax_number": "406-676-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 MAIN ST SW",
            "city": "RONAN",
            "state": "MT",
            "postal_code": "59864",
            "telephone_number": "406-676-0170",
            "fax_number": "406-676-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONAN CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WICKLUND",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "LUCILLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-676-0170",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "1050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00067474",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "DA6765",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0165126",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "40743",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ronan Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Irmak B Redhawk, LMHC
• Juanita Marie Reed, ACLC
• Krysti Reichman, PCLC
• Donna Sophia Richard, LAC
• Rick Greene LCSW Counseling Services PLLC
• Renee Roulliermadrigal, LCSW
• Aubree Ann Ruzkowski, D.O.
• School District #30
• James Schrock
• Kiera Elaine Sias

• Chiropractor in Ronan, MT
• Providers in Ronan, MT by specialty
• Chiropractor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.