Michael Bollig, D.C.
Individual provider Active NPI Chiropractor · Deforest, WI
NPI 1992243760 · NPPES record last updated Feb 1, 2017
Key facts
- NPI
- 1992243760
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5250 (WI)
- Practice address
- 312 E North St
Deforest, WI 53532-1258 - Phone
- (608) 846-3337
- Fax
- (608) 846-7033
- NPI assigned
- Feb 1, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bakke Chiropractic Clinic SC
Practice addresses (Care Compare)
312 E N St
Deforest, WI 53532-1258
Phone (608) 846-3333
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170221001632 | WI | Practitioner - Chiropractic | 2264716190 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bakke Chiropractic Clinic SC | Chiropractor | Current |
Accepting new patients |
Locations
312 E North St
Deforest, WI 53532
Phone (608) 846-3333
801 N Main St
Ste B
Lodi, WI 53555
Phone (608) 592-1400
725 W Main St
Sun Prairie, WI 53590
Phone (608) 837-7600
612 E Main St
Waunakee, WI 53597
Phone (608) 849-9014
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5250 | WI | Yes |
Addresses
Primary practice location
312 E North St
Deforest, WI 53532-1258
Mailing address
312 E North St
Deforest, WI 53532-1258
Phone (608) 846-3337
Other providers in Deforest, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.