Dillan Jay Bollwinkel | Raleigh, NC • PECOS Search

Dillan Jay Bollwinkel

Chiropractor

Chiropractic Providers

3410 Six Forks Rd, Raleigh, NC 27609-7234

PECOS Enrollment

Based on the most recent information from CMS, provider Dillan Jay Bollwinkel does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:51 AM.

Profile Details

Provider ID
1528689643
Provider Type
Individual
Full Name
Bollwinkel, Dillan Jay
Title
Dr.
Credential
DC

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/29/2020
Last Updated
4/29/2020

Contact Information

Practice Location

3410 Six Forks Rd, Raleigh, NC 27609-7234

Unlisted Fax

Mailing Location

3410 Six Forks Rd, Raleigh, NC 27609-7234

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License 5184 North Carolina