Chiropractic Care Center-waukesha,llc | |
6400 Industrial Loop, Greendale, WI 53129-2452 | |
(414) 423-4100 | |
(414) 423-4134 |
Full Name | Chiropractic Care Center-waukesha,llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 6400 Industrial Loop, Greendale, 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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1063693166 | NPI | - | NPPES |
38920300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 3572 (Wisconsin) | Primary |
Provider Name | Ethan A Dull |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1699831909 PECOS PAC ID: 8426039488 Enrollment ID: I20040526000280 |
Provider Name | Laura A Dull |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1831206879 PECOS PAC ID: 4284716655 Enrollment ID: I20080124000587 |
Mailing Address | Practice Location Address |
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Chiropractic Care Center-waukesha,llc 811 N Grandview Blvd, Waukesha, WI 53188-2894 Ph: (262) 542-9814 | Chiropractic Care Center-waukesha,llc 6400 Industrial Loop, Greendale, WI 53129-2452 Ph: (414) 423-4100 |
Dr. Cody Sromek, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 5632 Parking St, Greendale, WI 53129 Phone: 414-892-4090 | |
Greendale Chiropractic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 5632 Parking St, Greendale, WI 53129 Phone: 414-892-4090 | |
Dr. Terry Michael Hough, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 5800 Broad St, Greendale, WI 53129 Phone: 414-282-2929 |