| Breidenbach Family And Sports Chiropractic Inc | |
|
1526 Rose St, La Crosse, WI 54603-4500 | |
| (608) 781-9880 | |
| Not Available |
| Full Name | Breidenbach Family And Sports Chiropractic Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1526 Rose St, La Crosse, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003987652 | NPI | - | NPPES |
| 38930000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Benjamin John Breidenbach |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1245309327 PECOS PAC ID: 9638250194 Enrollment ID: I20110112001027 |
| Provider Name | Amy Kay Breidenbach |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1376644567 PECOS PAC ID: 4789765249 Enrollment ID: I20111031000301 |
| Provider Name | Ross Randall Mundinger |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1447630751 PECOS PAC ID: 6204155930 Enrollment ID: I20150717000720 |
| Provider Name | Michelle Elise Gonzalez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1164979241 PECOS PAC ID: 1951674035 Enrollment ID: I20180716001157 |
| Provider Name | Adam Michael Gonzalez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1073060497 PECOS PAC ID: 0244597490 Enrollment ID: I20180717002537 |
| Mailing Address | Practice Location Address |
|---|---|
| Breidenbach Family And Sports Chiropractic Inc 1526 Rose St, La Crosse, WI 54603-4500 Ph: (608) 781-9880 | Breidenbach Family And Sports Chiropractic Inc 1526 Rose St, La Crosse, WI 54603-4500 Ph: (608) 781-9880 |
Dr. Jerry Lee Johnson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4312 Mormon Coulee Rd, La Crosse, WI 54601 Phone: 608-788-7111 Fax: 608-788-7113 | |
Coulee Chiropractic Clinic, S.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 600 3rd St N, Suite 201, La Crosse, WI 54601 Phone: 608-782-6604 Fax: 608-782-6335 | |
Johnson Chiropractic, Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 4435 Mormon Coulee Rd, La Crosse, WI 54601 Phone: 608-788-4435 Fax: 608-788-4436 | |
Livewell Chiropractic & Wellness, Llc. Chiropractor Medicare: Medicare Enrolled Practice Location: 1802 State Road 16, La Crosse, WI 54601 Phone: 608-782-6800 Fax: 608-782-6802 | |
Andrew Markworth, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2837 Darling Ct, La Crosse, WI 54601 Phone: 608-783-3040 Fax: 844-248-2389 | |
Dr. Brian Huisheere, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1802 State Road 16, La Crosse, WI 54601 Phone: 608-782-6800 |