DR. KYLE TIMOTHY KOLLBAUM


Address: 430 N Maple St, Ste 200, Ellsworth, WI 54011-9029
Phone: 7152733175

DR. KYLE TIMOTHY KOLLBAUM (NPI# 1992701056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992701056
Entity Type Individual
Full Name DR. KYLE TIMOTHY KOLLBAUM
Credential D.C.
Practice Address 430 N Maple St
Ste 200
Ellsworth
WI 54011-9029
Mailing Address W4083 490th Ave
Ellsworth
WI 54011-5823
Practice Telephone 7152733175
Practice Fax Number 7152733427
Mailing Telephone 7152735901
Mailing Fax Number 7152733427
Enumeration Date 2005-06-23
Last Update Date 2013-01-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 4077-012 WI Chiropractic Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI BLUE CROSS BLUE SHIELD 412011981012 01
WI 38958400 05
MN BLUE CROSS BLUE SHIELD 49D87KO 01

Office Location

Street Address 430 N MAPLE ST
STE 200
City ELLSWORTH
State WI
Zip Code 54011-9029

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659572048 Kollbaum Chiropractic Limited Chiropractor 430 N Maple St, Suite 200, Ellsworth, WI 54011-9029 2007-05-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942864186 Cb Therapy Group, LLC Social Worker 187 E Main Street, Ellsworth, WI 54011 2019-04-23
1124548201 Samantha K Johnson Chiropractor 187 East Main, Ellsworth, WI 54011 2017-06-21
1609047869 Shopko Stores Operating Co LLC Pharmacy 598 Lucas Lane, Ellsworth, WI 54011 2008-03-17
1134301955 Ellsworth Community School District Local Education Agency (LEA) 300 Hillcrest St, Box 1500, Ellsworth, WI 54011 2007-12-04
1730219239 Krisan Shaw Dentist 501 W. Lucas Lane, Ellsworth, WI 54011 2007-03-06
1770659658 Pierce County Dept of Human Services Community/Behavioral Health 412 W Kinne Street, Ellsworth, WI 54011 2006-11-24
1629633912 Village Pharmacy Healthcare Inc Pharmacy 157 E Main St, Ellsworth, WI 54011 2019-05-02
1396162020 Shaw Family Dental Sc Dentist 501 W. Lucas Lane, Ellsworth, WI 54011 2014-03-19
1093085680 Amy Alissa Kohls Occupational Therapy Assistant 403 N Maple St, Ellsworth Care Center, Ellsworth, WI 54011 2012-01-12
1659557510 Ellsworth Chiropractic Inc Chiropractor 187 E Main St, Ellsworth, WI 54011 2008-01-10
Find all providers in zip 54011

Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124548201 Samantha K Johnson Chiropractor 187 East Main, Ellsworth, WI 54011 2017-06-21
1255889192 Oak Creek Chiropractic, LLC. Chiropractor 519 Prairie Ln, Ellsworth, KS 67439-1504 2016-09-20
1023181484 Ronald Scott Nyeggen Chiropractor 105 North Piety Street, Ellsworth, WI 54011-0335 2006-11-15
1578509790 Gregory Winton Bernard Chiropractor 330 West Main Street, Ellsworth, WI 54011-5087 2006-06-22
1134165855 Wayne Keith Wallert Chiropractor 307 Webb, Ellsworth, KS 67439 2006-06-21
1295725695 Alan William Weymouth Chiropractor 194 Beechland Rd, Ellsworth, ME 04605-2536 2005-10-26
1417944430 Jeffrey Scott Torkelson Chiropractor 226 N Douglas Ave, Ellsworth, KS 67439-3208 2005-10-04
1386117935 Richard White Chiropractor 150 Bucksport Rd, Ellsworth, ME 04605-2224 2019-01-07
1710456173 Kyle J Cress Chiropractor 330 W Main St, Ellsworth, WI 54011-5087 2018-11-15
1922540301 Active Chiropractic and Wellness Chiropractor 150 Bucksport Rd, Ellsworth, ME 04605-2224 2016-11-16
Find all providers in ELLSWORTH

Competitor

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City ELLSWORTH
Zip Code 54011

Improve Information

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Dataset Information

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.

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