MEDICARE: NEVIN CHIROPRACTIC SC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	3723-12	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164604914
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEVIN CHIROPRACTIC SC

Provider Business Mailing Address
First Line	:	1380 N ACRES RD STE A
Second Line	:
City	:	PRESCOTT
State	:	WI
Zip	:	54021-7039
Country	:	US
Telephone Number	:	715-262-8555
Fax Number	:	715-262-8744

Provider Business Practice Location Address
First Line	:	1380 N ACRES RD STE A
Second Line	:
City	:	PRESCOTT
State	:	WI
Zip	:	54021-7039
Country	:	US
Telephone Number	:	715-262-8555
Fax Number	:	715-262-8744

Authorized Official
Title or Position	:	OWNER/ PRESIDENT
Name	:	DR. KATHERINE M GRAVESEN
Credential	:	DC
Telephone Number	:	715-262-8555

Provider Enumeration Date	:	12/04/2007
Last Update Date	:	10/15/2010

Similar Medicare Providers

1184630865 — KAREN A. BURTON N.P.
Practice Location Address:

1400 N ACRES RD STE 30
PRESCOTT, WI
54021-7039

Practice Phone: 715-262-4441
Practice Fax: 715-262-4443

1245396522 — SARAH MICHELLE HARVIEUX PT
Practice Location Address:

1400 N ACRES RD STE 60
PRESCOTT, WI
54021-7039

Practice Phone: 651-404-1030
Practice Fax: 651-404-1035

1437343449 — MS. MAUREEN A ROESSLER M.S., CCC-SLP
Practice Location Address:

7039 N CLEAR SKY CT
PRESCOTT VALLEY, AZ
86314-9035

Practice Phone: 928-772-1691
Practice Fax:

1922090521 — CCG PRESCOTT, INC
Practice Location Address:

1505 ORRIN RD
PRESCOTT, WI
54021-1074

Practice Phone: 715-262-5661
Practice Fax: 715-262-4899

1174512644 — DR. CRIS WILLIAM JOHNSTON PH.D.
Practice Location Address:

115 ORANGE ST
PRESCOTT, WI
54021-1728

Practice Phone: 715-262-5559
Practice Fax:

1811957095 — DR. KURT R. FUCHS M.D.
Practice Location Address:

1400 N ACRES RD , SUITE 30
PRESCOTT, WI
54021-7038

Practice Phone: 715-262-4441
Practice Fax:

Directions to “NEVIN CHIROPRACTIC SC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.