| De Pere Chiropractic Center | |
|
820 George St, De Pere, WI 54115-2916 | |
| (920) 336-2921 | |
| (920) 336-8229 |
| Full Name | De Pere Chiropractic Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 820 George St, De Pere, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083600654 | NPI | - | NPPES |
| 100001401 | Medicaid | WI | |
| 38991400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (Wisconsin) | Primary |
| Provider Name | Jaceson L Hauser |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1972788297 PECOS PAC ID: 3779667357 Enrollment ID: I20090114000790 |
| Provider Name | Spencer L Woodward |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1093701567 PECOS PAC ID: 5991987927 Enrollment ID: I20110311000036 |
| Mailing Address | Practice Location Address |
|---|---|
| De Pere Chiropractic Center 820 George St, De Pere, WI 54115-2916 Ph: (920) 336-2921 | De Pere Chiropractic Center 820 George St, De Pere, WI 54115-2916 Ph: (920) 336-2921 |
Brady Spielbauer, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1702 Scheuring Rd Ste C, De Pere, WI 54115 Phone: 920-227-1331 Fax: 920-632-7870 | |
Dr. Alex Kocken, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 920 Main Ave, Ste B, De Pere, WI 54115 Phone: 920-336-2822 Fax: 920-347-3481 | |
Tundra Chiropractic, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 1251 Scheuring Rd, De Pere, WI 54115 Phone: 920-336-3353 | |
Spencer L Woodward, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 820 George St, De Pere, WI 54115 Phone: 920-336-2921 Fax: 920-336-8229 | |
Van Drisse Chiropractic Center Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 502a George St, De Pere, WI 54115 Phone: 920-337-0103 Fax: 920-338-9066 | |
Dr. Karl Huebner, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3108 Mid Valley Dr, De Pere, WI 54115 Phone: 920-515-0990 |