Chiropractic Company | |
10025 W Greenfield Ave Ste 100, West Allis, WI 53214-3957 | |
(414) 258-9777 | |
Not Available |
Full Name | Chiropractic Company |
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Type | Facility |
Speciality | Chiropractor |
Location | 10025 W Greenfield Ave Ste 100, West Allis, 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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1376017517 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Kent L Mcleod |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1710067194 PECOS PAC ID: 1153356886 Enrollment ID: I20051001000010 |
Provider Name | Timothy A Kostusak |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1679586853 PECOS PAC ID: 8022187178 Enrollment ID: I20080515000600 |
Provider Name | Michael J Ganas |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1154799435 PECOS PAC ID: 1254671126 Enrollment ID: I20190313001392 |
Mailing Address | Practice Location Address |
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Chiropractic Company 11129 N Wauwatosa Rd, Mequon, WI 53097-3431 Ph: (414) 354-5377 | Chiropractic Company 10025 W Greenfield Ave Ste 100, West Allis, WI 53214-3957 Ph: (414) 258-9777 |
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