Kassy Jo Fuller is a Antigo, Wisconsin based female chiropractor with 6 years of experience in General Chiropractor. She completed her graduation from Palmer College Chiropractic - Davenport in 2018. She may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Kassy Jo Fuller as General Chiropractor is 5664-12 in Wisconsin. Kassy Jo Fuller is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Kassy Jo Fuller speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
DC
Experience:
6+ years
Medical School Attended:
Palmer College Chiropractic - Davenport
Graduation Year:
2018
Gender:
Female
Accepts Medicare Assignment:
May Accept
Practice Address:
2006 Progress Blvd, Antigo, Wisconsin, 54409-2475
Phone:
715-623-5481
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2062752736
Enrollment ID:
I20210817000817
NPI Number:
1316410368
NPI Enumeration Date:
02 Jan, 2019
NPI Last Update On:
07 May, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kassy Jo Fuller are as mentioned below.
License Number
Specialization
State
Status
5664-12
Chiropractor
Wisconsin
Primary
60892858
General Chiropractor
Washington
Secondary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Kassy Jo Fuller is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Cornerstone Chiropractic And Wellness Llc (5496996613)
3
Other Medical Identifiers:
Other legacy medical identifiers associated with Kassy Jo Fuller such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
60892858
Other
Washington
CHIROPRACTIC LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2006 Progress Blvd, Antigo, Wisconsin
Zip:
54409-2475
Phone Number:
715-623-5481
Fax Number:
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Patients can reach Kassy Jo Fuller at 2006 Progress Blvd, Antigo, Wisconsin or can call to book an appointment on 715-623-5481. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Comments/ Reviews:
Similar Chiropractor in Antigo, WI
Dr. Angela Renee Thiele, D.C. Speciality: Chiropractor Address: 2006 Progress Blvd, WI Phone: 715-623-5481 Fax: 715-627-0177