Randal J Jacklitch (NPI# 1447201561, PAC ID# 3678466844) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1447201561 |
| PAC ID by PECOS | 3678466844 |
| Professional Enrollment ID | I20040203000778 |
| Full Name | Randal J Jacklitch |
| Address |
208 W James St Paynesville MN 56362-1219 |
| Gender | M |
| Credential | DC |
| Medical School | NORTHWESTERN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 1987 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 241349 | CENTRA CARE HEALTH PAYNESVILLE |
| Address | Phone | Organization |
|---|---|---|
| 208 W James St, Paynesville, MN 56362-1219 |
| Street Address |
208 W JAMES ST |
| City | PAYNESVILLE |
| State | MN |
| Zip | 56362-1219 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney E Stenger | Chiropractic | Duininck Chiropractic, Pa | 208 W James St, Paynesville, MN 56362-1219 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence G Strate | Family Medicine | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Wendy M Miller | Nurse Practitioner | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Alicia M Glimsdal | Nurse Practitioner | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Joseph M Fortier | Physician Assistant | St Cloud Orthopedic Associates Ltd | 200 W 1st St, Paynesville, MN 56362-1445 |
| Courtney L Logan | Physician Assistant | St Cloud Orthopedic Associates Ltd | 200 W 1st St, Paynesville, MN 56362-1445 |
| Randy N Nelson | Internal Medicine | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| John K Tronnes | Family Medicine | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Sarah J Revermann | Nurse Practitioner | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Janella F Fuchs | Nurse Practitioner | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Christopher R Anderson | Family Medicine | Centracare Health - Paynesville LLC | 200 W 1st St, Paynesville, MN 56362-1445 |
| Find all physicians in zip 56362 | |||
| City | PAYNESVILLE |
| Zip Code | 56362 |
| Specialty | CHIROPRACTIC |
| City + Specialty | PAYNESVILLE + CHIROPRACTIC |
Please comment or provide details below to improve the information on Randal J Jacklitch.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.