Health In Motion Chiropractic Llc | |
2530 Lineville Rd Ste 1, Green Bay, WI 54313-8861 | |
(920) 857-3126 | |
Not Available |
Full Name | Health In Motion Chiropractic Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 2530 Lineville Rd Ste 1, Green Bay, 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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1386263374 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Ryan Michael Tachick |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1104453570 PECOS PAC ID: 4880025329 Enrollment ID: I20200515002173 |
Provider Name | Dylan R Wenzel |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1568076081 PECOS PAC ID: 9931518776 Enrollment ID: I20210507002232 |
Mailing Address | Practice Location Address |
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Health In Motion Chiropractic Llc 3446 Jersey Lane, Optional, Suamico, WI 54313 Ph: (920) 660-6081 | Health In Motion Chiropractic Llc 2530 Lineville Rd Ste 1, Green Bay, WI 54313-8861 Ph: (920) 857-3126 |
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