MEDICARE: HIETPAS CHIROPRACTIC LLC

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	2818	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

General Provider Information

NPI Number	:	1306001904
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIETPAS CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	1444 EGG HARBOR RD
Second Line	:
City	:	STURGEON BAY
State	:	WI
Zip	:	54235-1240
Country	:	US
Telephone Number	:	920-743-2200
Fax Number	:	920-743-2250

Provider Business Practice Location Address
First Line	:	1444 EGG HARBOR RD
Second Line	:
City	:	STURGEON BAY
State	:	WI
Zip	:	54235-1240
Country	:	US
Telephone Number	:	920-743-2200
Fax Number	:	920-743-2250

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	DR. CATHLEEN L HIETPAS
Credential	:	DC
Telephone Number	:	920-743-2200

Provider Enumeration Date	:	07/23/2008
Last Update Date	:	07/23/2008

Similar Medicare Providers

1912955618 — DR. PAUL ANDREW FILAR O.D.
Practice Location Address:

1426 EGG HARBOR RD
STURGEON BAY, WI
54235-1240

Practice Phone: 920-743-5053
Practice Fax: 920-743-8802

1689791204 — DR. CATHLEEN LEE KELTGEN D.C.
Practice Location Address:

1444 EGG HARBOR RD
STURGEON BAY, WI
54235-1240

Practice Phone: 920-743-2200
Practice Fax: 920-743-2250

1154526663 — DR. JASON KENWOOD KELTGEN D.C.
Practice Location Address:

1444 EGG HARBOR RD
STURGEON BAY, WI
54235-1240

Practice Phone: 920-743-2200
Practice Fax: 920-743-2250

1548445737 — PENINSULA VISION CARE LLC
Practice Location Address:

1426 EGG HARBOR RD
STURGEON BAY, WI
54235-1240

Practice Phone: 920-743-5053
Practice Fax: 920-743-8802

1770089849 — EVAN KOURTJIAN MD
Practice Location Address:

1240 UNIVERSITY BAY DR
MADISON, WI
53705-2253

Practice Phone: 734-255-7979
Practice Fax:

1891315495 — STEPHANIE KOURTJIAN PA-C
Practice Location Address:

1240 UNIVERSITY BAY DR
MADISON, WI
53705-2253

Practice Phone: 616-970-8072
Practice Fax:

Directions to “HIETPAS CHIROPRACTIC LLC ” 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.