Cornerstone Chiropractic Of Hortonville Llc | |
223 N Pine St, Hortonville, WI 54944-9140 | |
(920) 850-2507 | |
Not Available |
Full Name | Cornerstone Chiropractic Of Hortonville Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 223 N Pine St, Hortonville, 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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1730628041 | NPI | - | NPPES |
100064521 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 5233-12 (Wisconsin) | Primary |
Provider Name | Eric R Clausen |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1215037692 PECOS PAC ID: 4981595568 Enrollment ID: I20040323000850 |
Mailing Address | Practice Location Address |
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Cornerstone Chiropractic Of Hortonville Llc Po Box 187, Hortonville, WI 54944-0187 Ph: () - | Cornerstone Chiropractic Of Hortonville Llc 223 N Pine St, Hortonville, WI 54944-9140 Ph: (920) 850-2507 |
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