| Woodridge Chiropractic Clinic | |
|
1624 Clarence Ct, West Bend, WI 53095-8533 | |
| (262) 334-4847 | |
| (262) 334-5554 |
| Full Name | Woodridge Chiropractic Clinic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1624 Clarence Ct, West Bend, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720185796 | NPI | - | NPPES |
| 38904700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2674-012 (Wisconsin) | Primary |
| Provider Name | Andrew C Stopczynski |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083774152 PECOS PAC ID: 0042297780 Enrollment ID: I20040701000405 |
| Provider Name | Kurt Patrick Huemmer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1659302867 PECOS PAC ID: 0143256966 Enrollment ID: I20050713000530 |
| Provider Name | James P Brugger |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1225020233 PECOS PAC ID: 2365449147 Enrollment ID: I20061109000217 |
| Provider Name | Garrett J Brugger |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1003257452 PECOS PAC ID: 2961644844 Enrollment ID: I20130805000809 |
| Provider Name | Janelle A Riedl |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861058125 PECOS PAC ID: 3274876677 Enrollment ID: I20190529001488 |
| Provider Name | Zachery Lazar Jacober |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1144959891 PECOS PAC ID: 6901286434 Enrollment ID: I20220630001058 |
| Mailing Address | Practice Location Address |
|---|---|
| Woodridge Chiropractic Clinic 1624 Clarence Ct, West Bend, WI 53095-8533 Ph: (262) 334-4847 | Woodridge Chiropractic Clinic 1624 Clarence Ct, West Bend, WI 53095-8533 Ph: (262) 334-4847 |
Mr. Garrett J Brugger, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1624 Clarence Ct, West Bend, WI 53095 Phone: 262-334-4847 Fax: 262-334-5554 | |
River Shores Chiropractic Sc Chiropractor Medicare: Medicare Enrolled Practice Location: 705 Village Green Way, Suite 105, West Bend, WI 53090 Phone: 262-334-4070 Fax: 262-334-4078 | |
Dr. Fj Schofield, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 820 E Paradise Dr, West Bend, WI 53095 Phone: 262-334-8188 Fax: 262-334-8166 | |
Dr. Kurt Rudolf Schaarschmidt, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 235 N 18th Ave, West Bend, WI 53095 Phone: 262-334-0374 Fax: 262-334-5958 | |
Braden M Sims, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 205 Valley Ave, West Bend, WI 53095 Phone: 262-338-1123 Fax: 262-338-7169 | |
Jeffrey Joseph Lutz, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2150 Chestnut Street, West Bend, WI 53095 Phone: 262-334-5431 Fax: 262-335-6481 | |
Dr. John S Belland, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 205 Valley Ave, West Bend, WI 53095 Phone: 262-338-1123 Fax: 262-338-7684 |