| Community Chiropractic | |
|
541 Kenosha St, Walworth, WI 53184-9538 | |
| (262) 275-1700 | |
| (262) 275-8767 |
| Full Name | Community Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 541 Kenosha St, Walworth, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578644068 | NPI | - | NPPES |
| 38927700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3166-012 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Community Chiropractic 541 Kenosha St, Walworth, WI 53184-9538 Ph: (262) 275-1700 | Community Chiropractic 541 Kenosha St, Walworth, WI 53184-9538 Ph: (262) 275-1700 |
Dr. Bernice Lorraine Elliott, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 541 Kenosha St, Walworth, WI 53184 Phone: 262-275-1700 | |
Dr. Michael C. Nice, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 541 Kenosha St, Walworth, WI 53184 Phone: 262-275-1700 Fax: 262-275-8767 |