MATTHEW K MARINE (NPI# 1235429101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235429101 |
| Entity Type | Individual |
| Full Name | MATTHEW K MARINE |
| Credential | D.C. |
| Practice Address |
109a S Center Ave Merrill WI 54452-1237 |
| Practice Telephone | 7155399797 |
| Practice Fax Number | 7155399098 |
| Mailing Telephone | 7155399797 |
| Mailing Fax Number | 7155399098 |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2016-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5177-12 | WI | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 038-011906 | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | STATE LICENSE | 5177-12 | 01 |
| Street Address |
109A S CENTER AVE |
| City | MERRILL |
| State | WI |
| Zip Code | 54452-1237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053827774 | Giana Backes | Chiropractor | 109a S Center Ave, Merrill, WI 54452-1237 | 2017-12-18 |
| 1225476591 | Carri Lynn Kennedy | Chiropractor | 109a S Center Ave, Merrill, WI 54452-1237 | 2013-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184273799 | Bone & Joint Clinic S.c. | Durable Medical Equipment & Medical Supplies | 100 Eagle Drive, Merrill, WI 54452 | 2019-09-06 |
| 1215413893 | Justine Tolles | Speech-Language Pathologist | Pine Crest, 2100 E 6th St, Merrill, WI 54452 | 2018-07-17 |
| 1265723688 | Primary Connection Health Care, Inc | Clinic/Center | 401 W. Main Street, Merrill, WI 54452 | 2011-04-20 |
| 1134374192 | Amanda J Wanta | Dental Hygienist | 401 West Mail Street, Merrill, WI 54452 | 2008-11-18 |
| 1457528598 | Lincoln County 51.437 Services | Case Management | 912 N Memorial Dr, Merrill, WI 54452 | 2008-05-08 |
| 1003019522 | Mary Margaret Hintze | Nurse Anesthetist, Certified Registered | 621 South Center Avenue, Merrill, WI 54452 | 2007-06-11 |
| 1093860702 | Katherine M. Gress-volpentesta | Chiropractor | 109 A S Center Ave, Merrill, WI 54452 | 2007-01-24 |
| 1578618187 | Gress Chiropractic Clinic, LLC | Chiropractor | 109 A S. Center Ave., Merrill, WI 54452 | 2007-01-24 |
| 1487751939 | Roger S Lamoreux | Optometrist | 728 E 2nd St, Merrill, WI 54452 | 2006-09-19 |
| 1568566776 | Paula K Mcintyre | Dietitian, Registered | 1205 Oday St, Merrill, WI 54452 | 2006-09-08 |
| Find all providers in zip 54452 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609411750 | Andrew John O'bleness | Chiropractor | 24721 C38, Merrill, IA 51038-8623 | 2019-11-13 |
| 1093860702 | Katherine M. Gress-volpentesta | Chiropractor | 109 A S Center Ave, Merrill, WI 54452 | 2007-01-24 |
| 1578618187 | Gress Chiropractic Clinic, LLC | Chiropractor | 109 A S. Center Ave., Merrill, WI 54452 | 2007-01-24 |
| 1326127200 | Gary Lee Mueller | Chiropractor | 706 S Center Ave, Merrill, WI 54452-3405 | 2006-11-03 |
| 1568568285 | Steven J Silverman | Chiropractor | 1501 E Main St, Merrill, WI 54452-2629 | 2006-09-16 |
| 1679528228 | Kimberly Jean Apprill | Chiropractor | 3207 E Main St, Merrill, WI 54452-8957 | 2006-05-23 |
| 1053827774 | Giana Backes | Chiropractor | 109a S Center Ave, Merrill, WI 54452-1237 | 2017-12-18 |
| 1093185282 | Silverman Chiropractic Health Center Inc | Chiropractor | 1501 E Main St, Merrill, WI 54452-2629 | 2015-09-30 |
| 1225476591 | Carri Lynn Kennedy | Chiropractor | 109a S Center Ave, Merrill, WI 54452-1237 | 2013-06-10 |
| 1730447707 | Abegglen Chiropractic Clinic Service Corporation | Chiropractor | 925 E Main St, Merrill, WI 54452-2502 | 2012-04-27 |
| Find all providers in MERRILL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.