Advantage Chiropractic, Llc | |
17047 W Greenfield Ave, New Berlin, WI 53151-1364 | |
(920) 420-6753 | |
Not Available |
Full Name | Advantage Chiropractic, Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 17047 W Greenfield Ave, New Berlin, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1366989055 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 5228-12 (Wisconsin) | Primary |
Provider Name | Evan L Norum |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1407392798 PECOS PAC ID: 0143504506 Enrollment ID: I20170302000898 |
Provider Name | Zachary James Bruley |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1699243246 PECOS PAC ID: 0941605463 Enrollment ID: I20210823000353 |
Mailing Address | Practice Location Address |
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Advantage Chiropractic, Llc 17047 W Greenfield Ave, New Berlin, WI 53151-1364 Ph: () - | Advantage Chiropractic, Llc 17047 W Greenfield Ave, New Berlin, WI 53151-1364 Ph: (920) 420-6753 |
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