| Fond Du Lac Family Chiropractic Llc | |
|
103 S Pioneer Rd Ste 200, Fond Du Lac, WI 54935-3800 | |
| (208) 722-9639 | |
| (920) 933-2511 |
| Full Name | Fond Du Lac Family Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 103 S Pioneer Rd Ste 200, Fond Du Lac, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790278695 | NPI | - | NPPES |
| 100014403 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4745 (Wisconsin) | Primary |
| Provider Name | Scott T Suprenand |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083903090 PECOS PAC ID: 3375728892 Enrollment ID: I20110427000616 |
| Mailing Address | Practice Location Address |
|---|---|
| Fond Du Lac Family Chiropractic Llc 103 S Pioneer Rd Ste 200, Fond Du Lac, WI 54935-3800 Ph: (920) 872-2969 | Fond Du Lac Family Chiropractic Llc 103 S Pioneer Rd Ste 200, Fond Du Lac, WI 54935-3800 Ph: (208) 722-9639 |
Baehr Chiropractic Center Sc Chiropractor Medicare: Medicare Enrolled Practice Location: 391 W Johnson St, Fond Du Lac, WI 54935 Phone: 920-923-3353 Fax: 920-923-3637 | |
Dr. Shayne Michael Bauer, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 355 N Peters Ave., Fond Du Lac, WI 54935 Phone: 920-923-3322 Fax: 920-923-3940 | |
Dr. Jessica L Serwe, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 976 E Johnson St, Suite 900, Fond Du Lac, WI 54935 Phone: 920-907-1700 Fax: 920-907-1708 | |
Dr. Scott Thomas Suprenand, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 103 S Pioneer Rd Ste 200, Fond Du Lac, WI 54935 Phone: 920-872-2969 Fax: 920-933-2511 | |
Dr. James C Neuber, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 355 N Peters Ave, Fond Du Lac, WI 54935 Phone: 920-923-3322 Fax: 920-923-3940 | |
Anderson Chiropractic Office Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 885 Western Ave, Suite #450, Fond Du Lac, WI 54935 Phone: 920-926-1722 | |
Moxon Chiropractic, S.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 93 S Pioneer Rd, 200, Fond Du Lac, WI 54935 Phone: 920-907-1283 Fax: 920-907-1285 |