Bosma Chiropractic L.l.c. | |
450 High St., Ste 4, Wrightstown, WI 54180 | |
(920) 532-6450 | |
(920) 532-6455 |
Full Name | Bosma Chiropractic L.l.c. |
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Type | Facility |
Speciality | Chiropractor |
Location | 450 High St., Wrightstown, 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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1790903110 | NPI | - | NPPES |
389-36600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 3807-012 (Wisconsin) | Primary |
Provider Name | Bradley R Bosma |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1366449696 PECOS PAC ID: 3375433279 Enrollment ID: I20040322000672 |
Mailing Address | Practice Location Address |
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Bosma Chiropractic L.l.c. 450 High St., Ste 4, Wrightstown, WI 54180 Ph: (920) 532-6450 | Bosma Chiropractic L.l.c. 450 High St., Ste 4, Wrightstown, WI 54180 Ph: (920) 532-6450 |
Dawn Craft, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 450 High St # 5b, Wrightstown, WI 54180 Phone: 920-532-9071 | |
D&d Chiropractic And Wellness Chiropractor Medicare: Medicare Enrolled Practice Location: 450 High St # 5b, Wrightstown, WI 54180 Phone: 920-532-9071 | |
Dr. Bradley Richard Bosma, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 202 Plum Rd. Ste A, Ste 4, Wrightstown, WI 54180 Phone: 920-532-6450 |