Adam Cosson, DC | |
200 E Ryan Rd, Oak Creek, WI 53154-4563 | |
(414) 570-3590 | |
Not Available |
Full Name | Adam Cosson |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 7 Years |
Location | 200 E Ryan Rd, Oak Creek, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912408246 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 5329-12 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lakeshore Medical Clinic Llc | 7719890730 | 293 |
Provider Name | Lakeshore Medical Clinic Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
Provider Name | Elite Sport & Spine, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1053740803 PECOS PAC ID: 4880822345 Enrollment ID: O20140109000133 |
Mailing Address | Practice Location Address |
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Adam Cosson, DC 200 E Ryan Rd, Oak Creek, WI 53154-4563 Ph: (414) 570-3590 | Adam Cosson, DC 200 E Ryan Rd, Oak Creek, WI 53154-4563 Ph: (414) 570-3590 |
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